International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2005
Case ReportsTracheostomy in children with nemaline core myopathy.
Two children with nemaline core myopathy (NM) who required tracheostomy are reported. One had a severe neonatal form requiring tracheostomy in the neonatal period for continuous mechanical ventilation. The other had a milder form with obstructive sleep apnoea, who underwent tracheostomy at age 22 months after adenoidectomy and a trial of nocturnal nasal continuous positive airway pressure ventilation. These cases highlight the clinical heterogeneity of the condition and the important role of the otolaryngologist in its management.
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2005
Treatment results of 59 young patients with nasopharyngeal carcinoma.
To evaluate the outcome of patients =30 years old with non-metastatic nasopharyngeal carcinoma and discover adverse prognostic factors. ⋯ We suggest that RT combined with multiagent chemotherapy is effective in achieving satisfactory DFS and comparable OS in young patients with NPC. Results of both previous series and ours are evoking the necessity of early administration of efficient chemotherapeutic agents in addition to radiotherapy, but indistinct is the precise regimen and the intensity along the radiotherapy. All efforts towards decreasing late side effects of treatment should be encouraged in this long life expected group.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2005
Case ReportsNeonatal tracheal rupture complicating endotracheal intubation: a case report and indications for conservative management.
Neonatal tracheal injury represents a rare complication of endotracheal intubation. Previous case reports have demonstrated high morbidity and mortality (75%) associated with the rapid occurrence of subcutaneous emphysema, respiratory failure and death in this patient population. ⋯ We report a case of a newborn who sustained tracheal rupture following traumatic intubation who survived with expectant management. The pathophysiology, management and indications for conservative management of neonatal tracheal rupture are reviewed.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2005
Retropharyngeal and parapharyngeal infections in children: the Toronto experience.
To review the Hospital of Sick Children, Toronto's experience of the diagnosis and management of retropharyngeal and parapharyngeal infections with particular emphasis on the role of computed tomography (CT) imaging in diagnosing the presence of an abscess. ⋯ Not all patients with retropharyngeal and parapharyngeal abscesses require surgery. Whilst CT scans are helpful in diagnosing and assessing the extent of these infections they are not always accurate in detecting an abscess. A decision to drain an abscess should therefore not be made based solely on the CT findings.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2004
Clinical Trial Controlled Clinical TrialEfficacy of bupivacaine for post-tonsillectomy pain: a study with the intra-individual design.
To determine the effectiveness of postoperative local anesthesia in tonsillectomy patients using an intra-individual study design. ⋯ Postoperative local bupivacaine infiltration in tonsillectomy patients was effective in children.