International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2006
Robin sequence: a retrospective review of 115 patients.
Review a large series of patients with Robin sequence to document the incidence of (1) associated syndromic diagnoses; (2) co-morbid conditions; (3) frequency and type of operative management for airway compromise and feeding difficulties; and (4) possible differences in treatment between syndromic and nonsyndromic infants. ⋯ The pathogenesis of Robin sequence is multifactorial and syndromic in nearly half of the patients. Operative treatment of respiratory failure was required in 44% of infants; the rate was similar in both hospitals. The operative approach differed significantly between the institutions, however, based on the philosophy and training of the managing surgical specialty. Co-morbid factors such as baseline cardiopulmonary and neurologic status did not play a significant role in surgical decision making.
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2006
Comparative StudyOlfactory dysfunction: a sequela of pediatric blunt head trauma.
To evaluate olfactory function in children with blunt head trauma. ⋯ Children with blunt head injury may suffer post-traumatic olfactory impairment. More severe head injuries are more likely to produce olfactory deficits. In cases of significant head injury, cranial nerve I evaluation is imperative.
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2006
The effect of treatment with vincristine on transient evoked and distortion product otoacoustic emissions.
Vincristine chemotherapy is mainly associated with neurotoxic effects. The ototoxicity of vincristine has been related to high dosage, while low and moderate doses do not seem to induce significant hearing impairment when measured by pure tone or speech audiometry. Otoacoustic emissions have been reported to be more sensitive in early detection of ototoxicity than conventional pure tone audiometry. The present study was directed at determining whether vincristine treatment interferes with outer hair cell function in the absence of measurable changes in pure tone audiometry. ⋯ For the population of this study, vincristine did not seem to cause significant alterations of otoacoustic emissions' recordings and consequently significant outer hair cell damage.
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There appears to be a high incidence of ranula in New Zealand. This study was designed to evaluate the diagnosis and surgical treatment of plunging ranula in children at Auckland Starship Children's Hospital, New Zealand. ⋯ Intraoral removal of the sublingual glands and pseudocyst is an effective and safe method for the treatment of plunging ranula in the pediatric population.
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Int. J. Pediatr. Otorhinolaryngol. · Jun 2006
Case ReportsTracheal atresia as part of an exceptional combination of malformations.
A case of a premature infant with tracheal atresia together with an exceptional combination of congenital abnormalities that partially corresponds to the TACRD and VACTERL associations is presented. Tracheal atresia was not detectable in the prenatal ultrasound due to lacking of the typical diaphragmatic and pulmonary findings because of the esophago-tracheal fistula, and therefore the resuscitation team was not prepared for this severe airway complication. After prolonged resuscitation efforts were terminated and the newborn expired after birth. Even without typical warning signs physicians have to be aware of tracheal atresia and airway obstruction if VACTERL or TACRD associations are diagnosed.