International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2004
Case ReportsPistachio nutshell foreign body of the oral cavity in two children.
Pistachio nutshell foreign bodies have been documented in the literature, occurring most commonly in the bronchi. The objective of this study is to report on two cases of oral cavity lesions, which were subsequently found to be pistachio nutshell foreign bodies. ⋯ The second patient is a 17-month-old female who presented with a firm, fixed midline hard palate mass. The lesion was subsequently noted to dislodge from the palate, and was identified as a pistachio nutshell.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2004
Case ReportsAdjusting the endotracheal tube tip in management of tracheomalacia in an infant.
Tracheomalacia (TM) is an occult central airway problem that may block the endotracheal tube (ETT) tip and cause ventilation risk. Traditional physical examination, chest radiograph, end-tidal CO2 monitoring and blood gas analysis do not easily make the correct diagnosis. Ultra-thin flexible bronchoscopy (FB) is convenient and useful to verify this rare type of ETT obstruction and can also guide the adjustment of the ETT tip to a correct location. We report two TM infants who were successfully diagnosed and managed by FB to correctly reposition the ETT tip.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2004
The age dependent relationship between facial fractures and skull fractures.
To provide clinical evidence to support the age dependent relationship between facial fractures and skull fractures. ⋯ The spectrum of craniofacial injuries is related to the specific developmental stage of the craniofacial skeleton. This is demonstrated by the variable pattern of combined facial and skull fractures observed clinically in children and adults.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of nebulized budesonide, and intramuscular, and oral dexamethasone for treatment of croup.
Croup or acute laryngotracheobronchitis is the most common cause of the upper airway obstruction. Cool mist, nebulized racemic epinephrine and steroids are commonly used for therapy. Although steroid treatment can be applied orally, in nebulized form, or parenterally, no study has compared these three regimens yet. In this study, the efficacy of nebulized budesonide, and oral and intramuscular dexamethasone are compared for treatment of croup. ⋯ Nebulized budesonide, oral and parenteral dexamethasone have the same effectiveness for treatment of croup and the choice depends on conditions of the patient and the physician.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2004
Case ReportsMultiple airway abnormalities in a patient with Rothmund-Thomson syndrome.
Rothmund-Thomson syndrome (RTS) is a rare autosomal recessive disorder that is characterized by skin manifestations, juvenile cataracts, and extracutaneous manifestations. The presence of congenital airway abnormalities has not previously been documented in Rothmund-Thomson syndrome. ⋯ Our case highlights the importance of suspecting multiple airway abnormalities in any child with respiratory distress with other systemic anomalies. This necessitates meticulous anatomical and dynamic examination of the laryngotracheo-broncheal tree.