JAMA otolaryngology-- head & neck surgery
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JAMA Otolaryngol Head Neck Surg · Aug 2016
Upper Airway Computed Tomography Measures and Receipt of Tracheotomy in Infants With Robin Sequence.
Airway management in infants with Robin sequence is challenging. Objective upper airway measures associated with severe airway compromise requiring tracheotomy are needed to guide decision making. ⋯ Computed tomography measures quantifying tongue position and mandibular configuration can identify infants with Robin sequence, and importantly, differentiate those who have severe upper airway compromise requiring tracheotomy. Following validation, these measures can be used for objective upper airway assessment and for expediting clinical decision-making in these challenging cases for which no such tools currently exist.
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JAMA Otolaryngol Head Neck Surg · Aug 2016
Sinonasal Quality of Life in Children With Cystic Fibrosis.
Sinusitis is the most common otolaryngologic complaint in children with cystic fibrosis (CF). However, basic knowledge about the effect of sinusitis on these children is lacking. ⋯ In this study, the incidence of symptomatic CRS was high, but quality-of-life impact was relatively low among children with CF. Use of standardized assessment scales, including consensus diagnostic criteria and validated quality-of-life surveys, may be helpful to guide referral and management decisions.