International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2015
Clinical TrialA new approach for cerumenolytic treatment in children: In vivo and in vitro study.
To demonstrate the effects of various cerumenolytic solutions in vivo and in vitro and to measure the change in pain following treatment. ⋯ In our study, the best cerumenolytic solutions were identified to be glycerine 10cc+3% hydrogen peroxide 10cc+10% sodium bicarbonate 10cc+distilled water 10cc. Especially the use of this mixture ease in terms of pain for the patient and in terms of time and comfort for the physician during the removal procedure.
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Ganglioneuroblastomas represent a histological subgroup of the rare neuroblastic tumours with intermediate malignant potential arising from neural crest progenitor cells of sympathetic nerves. Diagnosis can often be difficult based on imaging alone. We describe 4 cases of children presenting with a solitary neck mass with histology ultimately revealing ganglioneuroblastoma. ⋯ Otolaryngologists should be aware of ganglioneuroblastoma when establishing the differential diagnosis of a child presenting with a neck mass. Biopsy is recommended as the gold standard investigation to avoid an incorrect diagnosis.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2015
Comparative StudyComparative outcomes of severe obstructive sleep apnea in pediatric patients with Trisomy 21.
To analyze the outcomes of severe obstructive sleep apnea (OSA) in pediatric patients with Trisomy 21 compared with non-syndromic patients. ⋯ A majority of Trisomy 21 patients with severe OSA had residual symptoms following surgical intervention. There is also an increased risk of post-operative airway intervention and increased length of hospital stay in these patients.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2015
Case ReportsIntranasal midazolam for anxiolysis in closed reduction of nasal fractures in children.
Nasal fractures can result in obstruction of the nasal airflow and cosmetic deformities, and are treated either with observation, closed reduction, or a delayed rhinoplasty. In the pediatric patient, closed reduction is challenging due to anxiety and poor patient cooperation. Here, we describe the unique topical use of intranasal midazolam for anxiolysis in two pediatric patients at the time of closed reduction of nasal fractures, which has not been previously described. ⋯ Intranasal midazolam can provide effective anxiolysis for pediatric patients during closed reduction of nasal fractures.