International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2009
Randomized Controlled Trial Multicenter StudyA prospective multi-centre randomised controlled trial comparing PlasmaKnife with bipolar dissection tonsillectomy: evaluating an emerging technology.
To clinically evaluate and compare the PlasmaKnife to bipolar electrocautery in paediatric tonsillectomy. ⋯ Our study has found no significant advantage to PlasmaKnife over bipolar diathermy tonsillectomy. However, this preliminary study finds PlasmaKnife to be an interesting instrument and may warrant a larger randomised study to evaluate the potential advantages.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2009
Diagnostic challenges of laryngeal papillomatosis and its implications among children in developing country.
To create an awareness of laryngeal papillomatosis in children and the implications of its mismanagement among the general practitioner and paediatricians, and to offer suggestions on its diagnostic techniques. ⋯ Laryngeal papillomatosis misdiagnosis and mismanagement were common in our environment due to clinicians not being conversant with the disease entity. It should therefore be considered an important differential diagnosis in children with laryngeal symptoms to improve its clinical outcome. Otorhinolaryngologists should always be involved early without delay in the management.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2009
Non-invasive ventilation in children with upper airway obstruction.
The aim of this paper is to highlight our experience with the use of non-invasive positive pressure ventilation (NIPPV) in children, neonates and pre-term infants with upper airway obstruction. ⋯ The use of NIPPV in children with upper airway obstruction can be a safe and effective alternative to invasive mechanical ventilation. NIPPV can potentially be beneficial in avoiding prolonged invasive ventilation, avoiding tracheostomy, stabilizing the airway after extubation or decannulation, and management of obstructive sleep apnoea.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2009
Quality of life in children with chronic suppurative otitis media with or without cholesteatoma.
To validate a disease-specific health related quality of life (HRQOL) instrument for children with chronic suppurative otitis media with or without cholesteatoma. ⋯ The COM-5 is a valid, reliable and responsive instrument. Apart from its satisfactory psychometric characteristics, it can be easily administered in caregivers of children who require a tympanoplasty due to chronic suppurative otitis media.
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2009
Postoperative airway events of individuals with CHARGE syndrome.
CHARGE syndrome is a heterogeneous genetic disorder comprising multiple congenital anomalies. Major clinical diagnostic criteria include ocular coloboma, choanal atresia/stenosis, characteristic ear abnormalities, and cranial nerve abnormalities. CHARGE syndrome is caused by a mutation in the gene CHD7 located on chromosome 8. Patients with CHARGE syndrome require multiple anesthetics for surgical and otorhinolaryngology procedures. This study describes the postoperative anesthetic related airway events (i.e. re-intubations for apneas and desaturations, airway obstruction due to excessive secretions) of nine individuals with CHARGE syndrome. ⋯ Individuals with CHARGE syndrome face a significant risk of postoperative airway events with anesthesia, and this is exacerbated by the high number of surgeries they require. Surgeons and anesthesiologists should be aware of potential for postoperative airway events in individuals with CHARGE syndrome and plan accordingly.