International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Case ReportsAbnormal orientation of Amplatzer PDA device on a chest radiogram masking foreign body aspiration.
Foreign body aspiration and consequent atelectasis of the lower lobe of the left lung with rotation of the heart resulted in an unusual radiographic appearance in a young girl who had recently undergone transcatheter closure of a patent arterial duct and coil embolization of an aortopulmonary collateral. The patient's chest radiography, who was originally admitted at a center with no echocardiography availability, was interpreted as showing embolization of one or both devices. ⋯ Subsequently, foreign body aspiration was suspected and confirmed at bronchoscopy, and successfully treated. Atelectasis resolved within few days.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Comparative StudyChildren's pre-operative tonsillectomy pain education: clinical outcomes.
To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). ⋯ Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Case ReportsEndoscopic posterior costal cartilage graft placement for acute management of pediatric bilateral vocal fold paralysis without tracheostomy.
Endoscopic posterior cricoid split with costal cartilage graft stabilization has previously been shont to allow for glottic/infraglottic expansion in children with long standing vocal fold paralysis. We report on an extension of this technique to use in the acute setting in the management of acute BVP in children with acute upper airway obstructive symptoms.