International journal of pediatric otorhinolaryngology
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2005
Case ReportsPulmonary hypertension due to recurrent juvenile laryngeal papillomatosis.
Although pulmonary hypertension secondary to upper airway obstruction caused by adenotonsillar hyperplasia has been well described, the association between laryngeal papillomatosis and pulmonary hypertension has not previously been documented. We report three patients with pulmonary hypertension due to upper airway obstruction caused by laryngeal papillomatosis. Pulmonary hypertension can contribute to significant preoperative and postoperative morbidity and cause intraoperative complications. Preoperative diagnosis and treatment of pulmonary hypertension is therefore essential in these patients.
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2005
Audiometric, clinical and educational outcomes in a pediatric symptomatic congenital cytomegalovirus (CMV) population with sensorineural hearing loss.
To correlate audiometric findings and outcomes with the clinical, radiological and educational findings in a symptomatic congenital cytomegalovirus (CMV) population with sensorineural hearing loss. ⋯ The severity of neurological manifestations in congenital symptomatic CMV infection was positively correlated with the need for total and manual communication and the reliance on special education. Statistical associations between clinical findings such as hepatic dysfunction, CP and hearing level were identified however plausible mechanisms explaining these associations remain ambiguous and are discussed in the context of this complex population of children with congenital symptomatic CMV.
-
Int. J. Pediatr. Otorhinolaryngol. · Sep 2005
Case ReportsSuccinylcholine-induced masseter muscle rigidity during bronchoscopic removal of a tracheal foreign body.
Masseter muscle rigidity during general anesthesia is considered an early warning sign of a possible episode of malignant hyperthermia. The decision whether to continue or discontinue the procedure depends on the urgency of the surgery and severity of masseter muscle rigidity. Here, we describe a case of severe masseter muscle rigidity (jaw of steel) after succinylcholine (Sch) administration during general anesthetic management for rigid bronchoscopic removal of a tracheal foreign body. Anesthesia was continued uneventfully with propofol infusion while all facilities were available to detect and treat malignant hyperthermia.
-
Int. J. Pediatr. Otorhinolaryngol. · Aug 2005
Case ReportsExtracranial internal carotid artery pseudoaneurysm.
Extracranial internal carotid artery aneurysms are very uncommon entities. We present the case of a young girl who was transferred to our institution after development of a neck mass after Quincy tonsillectomy. The literature on extracranial carotid artery aneurysms is reviewed and reported.
-
Int. J. Pediatr. Otorhinolaryngol. · Jul 2005
Case ReportsA novel stent for treatment of combined anterior glottic web-subglottic stenosis.
Severe congenital glottic webs are often associated with subglottic stenosis. We treated two young children with combined anterior glottic web-subglottic stenosis with partial laryngofissure and anterior costal cartilage graft placement. ⋯ This stent served as both a subglottic stent and a glottic keel. These two children achieved decannulation with improved vocal quality.