International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2006
The use of the Montgomery T-tube in difficult paediatric airways.
We report our experience of using Montgomery T-tubes in children. ⋯ The Montgomery T-tube provides a useful adjunct to the management of a small number of children with the most difficult airway problems. Its use can be problematic, however, and requires awareness of its specific complications. We have confined usage to complex stenoses where a reconstruction would be inappropriate, or (in one instance) to stent an unsupported larynx after revision reconstruction (tracheal resection).
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2006
Beneficial effects of Ebselen on corrosive esophageal burns of rats.
This study was evaluated to investigate the efficacy of Ebselen, which is an organoselenium compound and glutathione peroxidase mimic, on the prevention of stricture development after esophageal caustic injuries in the rat. ⋯ It is concluded that Ebselen has a preventive effect in the development of fibrosis and decrease the lipid peroxidation, and increase the antioxidant defense system activity in an experimental model of corrosive esophagitis in rats.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2005
Review Case ReportsGrisel's syndrome: a case report and review of the literature.
Grisel's syndrome is non-traumatic atlantoaxial subluxation (AAS) secondary to an inflammatory process in the upper neck. It is a rare condition that occurs almost exclusively in children and has been associated with upper cervical infections and otolaryngologic procedures. A case of AAS secondary to an upper cervical infection is presented. Potential sequelae can be severe; early diagnosis and treatment of Grisel's syndrome can prevent tragic outcome.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2005
Case ReportsCervicofacial emphysema and pneumomediastinum following pediatric adenotonsillectomy: a rare complication.
Cervicofacial emphysema and pneumomediastinum are rarely observed sequelae of surgical intervention in the upper aerodigestive tract. It is a potentially life-threatening condition but the majority of cases are self-limiting and benign. ⋯ A case occurring after adenotonsillar surgery in a 7-year-old child is presented. This report highlights this unusual complication and its potential to delay the postoperative recovery following adenotonsillectomy.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2005
Clinical TrialComparison of propofol with propofol-ketamine combination in pediatric patients undergoing auditory brainstem response testing.
The aim of our study was to compare propofol with propofol-ketamine combination for sedation and also to compare related complications in children undergoing auditory brainstem response (ABR) testing. ⋯ In pediatric cases where ABR testing was applied, addition of low dose ketamine to propofol avoided the risk of respiratory depression due to propofol and lowered the need for additional dose of propofol. Therefore, the co-administration of propofol and ketamine appears to be a safe and useful technique for ABR testing.