International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Endoscopic anterior cricoid split and balloon dilation in pediatric subglottic stenosis.
To analyze the outcome of a new endoscopic approach for the treatment of pediatric subglottic stenosis. ⋯ EACS is a safe and efficient technique to treat pediatric subglottic stenosis, regardless of their grade and length, provided to associate it with postoperative laryngeal stenting and regular endoscopic follow-up with possible additional balloon dilations. In our teams, it has become the first line treatment for most grades II to IV SGS. Its indications can be extended to congenital stenosis with cartilaginous involvement and to long-lasting acquired stenosis with firm fibrosis.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Randomized Controlled Trial Comparative StudyEfficacy of manual jet ventilation using Manujet III for bronchoscopic airway foreign body removal in children.
To evaluate the efficacy of a manual jet ventilation device for bronchoscopic removal of foreign bodies in children. ⋯ This study confirmed the safety and efficacy of performing manual jet ventilation with Manujet III in foreign body removal by rigid bronchoscopy in children.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Randomized Controlled TrialMagnesium sulphate infusion is not effective on discomfort or emergence phenomenon in paediatric adenoidectomy/tonsillectomy.
This study was performed to evaluate the possible influence of magnesium sulphate which has sedative and analgesic properties on sevoflurane-induced emergence agitation in paediatric patients undergoing adenoidectomy with or without tonsillectomy. ⋯ Magnesium sulphate infusion has no influence on sevoflurane-induced discomfort or emergence agitation.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Case ReportsAtypical locations of retropharyngeal abscess: beware of the normal lateral soft tissue neck X-ray.
Retropharyngeal abscesses (RPA) are uncommon but potentially lethal deep neck space infections, over 95% of which occur in children under six years of age. Without a high index of suspicion, early recognition and prompt intervention, catastrophic consequences can ensue, and mortality can be as high as 60% if jugular vein thrombosis or mediastinitis occurs. ⋯ While we recognise the role of lateral neck X-rays in retropharyngeal and other upper airway pathologies, we present three case series in which lateral neck X-rays were normal and diagnosis was made only after CT scanning. These three cases were unusual as the abscesses were located high in the naso-pharynx making them impossible to detect on the lateral soft tissue neck X-rays and this underscores the need for high index of suspicion and prompt CT or MRI scanning, in any child with symptoms or signs suggestive of a possible retropharyngeal abscess.