International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2007
Comparative StudyComparison of universal newborn hearing screening programs in Illinois hospitals.
SUMMARY/OBJECTIVES: In accordance with the Joint Committee on Infant Hearing's (JCIH, 2000) position statement regarding Universal Newborn Hearing Screenings (UNHS), the state of Illinois enacted legislation requiring all birthing hospitals to conduct UNHS by 31 December 2002. Currently 100% of birthing facilities in the state of Illinois perform newborn infant hearing screenings using otoacoustic emissions (OAEs) and/or automated auditory brainstem response (AABR) measures. This study is an attempt to document current practices in hospital-based UNHS programs, as reported by program personnel, in the state of Illinois. The goal is to compare these reported practices to the recommended standards and identify factors that could lead to further refinement of the process. ⋯ At the beginning of 2004, 99% of all infants born in Illinois were being screened for hearing loss. Personnel involvement and screening measures employed were comparable to the few reports available from other states. The audiologist's role was found to be fairly limited in screening, re-screening, or managing UNHS programs. Referral rates were consistent with national standards ( approximately 1%). Management of UNHS programs in small, rural facilities, tracking/monitoring high-risk infants, and other services provided to families emerged as areas with room for improvement.
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2007
Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms.
Children with undiagnosed and retained foreign bodies (FBs) may present with persistent respiratory symptoms. Delayed diagnosis is an important problem in developing countries and several factors affect the delay. ⋯ Atypical or prolonged respiratory symptoms should alert the physician and clinical and radiological findings should be carefully evaluated for a possible FBA. Delay in diagnosis and treatment of FBA should be avoided to prevent complications.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2007
Randomized Controlled TrialComparison of bupivacaine and ropivacaine on postoperative pain after tonsillectomy in paediatric patients.
We aimed to compare the effects of peritonsillar bupivacaine and ropivacaine infiltration on pain after tonsillectomy in children. ⋯ Peritonsillar bupivacaine infiltration is, however, insufficient to control postoperative pain, it is more effective than ropivacaine for reducing postoperative analgesic requirement.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2007
Case ReportsFloating the uvula: an intraoperative method for detecting bifidity.
A bifid uvula, midline diastasis of the palatal muscles, and notching of the posterior hard palate have classically formed a triad diagnosing submucosal clefts. The uvula has thus served as a tool for clinicians to detect the earliest signs of clefting. In this case report, we discuss how mucosal lining may be held together by mucous viscosity, making it difficult to detect notching or a grossly bifid uvula. ⋯ This changed our surgical approach from a complete to a partial adenoidectomy. A bifid uvula may be considered the earliest form of a cleft palate, and more importantly, it has been shown in the literature to be associated with other anomalies as submucosal cleft, hyoplastic eustachian tube orifice, and absence of the salpingopharyngeal folds. The intraoperative technique of floating the uvula helps to overcome mucous viscosity and identify an otherwise missed bifid uvula.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2006
Rigid tracheobronchoscopy in the management of airway foreign bodies: 10 years experience in Kosovo.
To review the incidence of tracheobronchial foreign body aspiration in the population of Kosovo and to evaluate the clinical features and management of tracheobronchial foreign body aspiration during a 10-year period. ⋯ Rigid bronchoscopy represents a safe and effective tool in the management of foreign body aspiration. However, the high percentage of false-negative results on chest radiography in our series warrants further investigation.