International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · May 2019
Identification of four novel mutations in MYO7A gene and their association with nonsyndromic deafness and Usher Syndrome 1B.
MYO7A gene has been shown to be associated with Usher syndrome 1B and nonsyndromic deafness. Although a lot of mutations have been reported in MYO7A gene, novel MYO7A mutations are continuously to be identified. ⋯ Four novel MYO7A mutations were identified in the present study. These findings provided new evidence for the genetic counseling of Usher syndrome 1B and nonsyndromic deafness.
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Int. J. Pediatr. Otorhinolaryngol. · May 2019
Simulation-based education to improve emergency management skills in caregivers of tracheostomy patients.
Children with tracheostomies are medically complex and may be discharged with limited and variably trained home nursing support. When faced with emergencies at home, caregivers must often take the lead role in management, and many lack experience with troubleshooting these emergencies prior to initial discharge. ⋯ Identification of skills and knowledge gaps prior to discharge allows for targeted re-education in emergency management.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2019
Can standard deviation of overnight pulse oximetry be used to screen childhood obstructive sleep apnea.
Pulse oximetry (PO) has been frequently used as an alternative test to polysomnography (PSG) in children. We conducted this study to determine which statistical parameters obtained from overnight PO monitoring would be most suitable and to evaluate its diagnostic performance. ⋯ Calculating the SD of SpO2, which quantifies the amount of dispersion of SpO2 values, is a useful initial investigation in childhood OSA. An SD ≥ 1.06 can predict moderate to severe OSA with confidence. This parameter is simple, practical, and readily accessible.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2019
Comparative StudyMandibular condylar fractures in children and adolescents: 5-Year retrospective cohort study.
This study aimed to evaluate and compare the demographic characteristics of mandibular condylar fractures between children and adolescents. ⋯ The trauma mechanisms, incidence, pattern and treatment of condylar fractures in children substantially differ from those in adolescents. This study was conducted to enable the understanding of the differences in condylar fractures between children and adolescents. Accordingly, preventive measures and treatment plans in children or adolescents should be applied differently.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2019
CSF leak after endoscopic skull base surgery in children: A single institution experience.
The endoscopic expanded endonasal approach (EEA) has been shown to be a safe and effective surgical technique in the resection of pediatric skull base lesions. Cerebrospinal fluid (CSF) leaks are among the most common complications of this approach. Here we review skull base resections using EEA in pediatric patients at our single institution, to identify potential risk factors for this surgical complication. ⋯ In our pediatric series, the skull base repair algorithm of using an NSF only in cases of "high flow" intraoperative leaks was effective, and no post-operative CSF leaks occurred. Not using an NSF in cases of "low-flow" or "no leak" cases allows for decreased anatomical disruption in the growing patient.