International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2002
Comparative StudyRobin sequence: review of treatment modalities for airway obstruction in 110 cases.
The objective of this paper is to assess the treatment protocols used in our institution for the management of airway obstruction among patients with Robin sequence and to suggest a rationale for management based on the findings. ⋯ The morbidity and mortality among Robin sequence patients had been widely decreased through the teamwork of the pediatrician, anesthesiologist, otolaryngologist, dentist, and plastic surgeon. Based on our experience, conservative management was sufficient for those patients with mild airway obstruction, while endotracheal intubation was required for patients with cyanosis, respiratory failure and sleep apnea. Tracheotomy was a better option than TLA for airway management among patients with failed extubation.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2002
Comparative StudyInfrared tympanic thermometer can accurately measure the body temperature in children in an emergency room setting.
The objective in this study was to compare the accuracy of the tympanic membrane infrared thermometer with the other conventional temperature measurement options. ⋯ In conclusion, it is apparent that each of the temperature measurement options has some advantages and disadvantages. An optimal thermometer should have the following features; accurate temperature measurement; ease of application in a short while; safety and absence of potential risks; and tolerability by the patient. Since the aural infrared thermometer meets these criteria, its use in the routine clinical practice appears to be advantageous rather than or complementary to the conventional methods.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2002
Case ReportsBronchial foreign body presenting as an accidental radiological finding.
The aspiration of a foreign body in an airway is usually associated with respiratory distress, wheeze and persistent cough. The highest incidence of foreign body inhalation occurs between the age of 1 and 3 years [Ann. Otol. ⋯ Aust. 2 (1983) 322]. Asymptomatic and long standing foreign bodies may lead to complications such as recurrent pneumonia, bronchiectasis, atelectasis and even death. We present here a case of a metallic bronchial foreign body, which was discovered only as an accidental radiological finding on a chest X-ray, which was done for a mild lower respiratory tract infection, presumably 4 months after such an aspiration.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2002
Comparative StudyEsophageal foreign bodies: a Jordanian experience.
To study the pattern of esophageal foreign bodies (FB) in Jordan and to compare it with other countries. ⋯ The pattern of esophageal FB in Jordan is not different from other countries.
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Int. J. Pediatr. Otorhinolaryngol. · May 2002
Case ReportsPitfalls in preoperative management of acquired laryngeal stenosis. The problem of the hidden obstruction in the airway.
Most acquired laryngeal stenoses in infants and children can be treated surgically with successful outcome. We describe two patient cases in which removal of such a stenosis did not result in decanulation, because another, hidden obstruction was present. This demonstrates the importance of preoperative assessment to indicate factors that influence the outcome of surgery, especially in infants with a syndrome. Guidelines for preoperative management and an extensive list of syndromes in which a hidden obstruction can be suspected, are presented.