International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Jul 1985
Case ReportsPostoperative macroglossia causing airway obstruction.
Macroglossia can cause a wide spectrum of problems in the pediatric population. Airway obstruction is the most severe of the sequelae and must be handled promptly. ⋯ Iatrogenic postoperative macroglossia is presented and mechanisms of injury discussed. Preventative and therapeutic measures are outlined.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 1985
Treatment of infantile subglottic hemangioma. A report of 49 cases.
Forty-nine laryngeal subglottic hemangiomas were observed in infants over a 9-year period. The diagnosis was always confirmed by direct laryngoscopy. The outcome of 42 of these hemangiomas was studied. ⋯ In 10 of the 16 intubated cases it was possible to withdraw corticosteroids permanently. Of the 6 remaining cases, 32P contact radiation therapy was tried in 2 cases of which one was successful, CO2 laser in 2 cases without success, tracheostomy alone in one case and one child died 2 months after extubation, without dyspnea. This series leads us to recommend corticosteroids as a first therapeutic step and short-term nasotracheal intubation if unsuccessful.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 1985
Foreign bodies in the tracheobronchial tree. Special references to experience in 97 children.
The case records of 110 patients (97 children and 13 grown-ups) with foreign bodies in the tracheobronchial tree during a period of 14 years (1970-1983) are reviewed. Atypical histories, misleading clinical and radiological findings and delayed diagnoses due to misinterpretations by the patients or their physicians were seen from time to time. Other findings in this survey were that organic material prevailed, with the majority of the objects in the right bronchial tree; there was a male predominance and the most common age for inhalation of a foreign body was about two years. ⋯ The venturi technique with oxygenation through the bronchoscope was applied at the extraction procedures. This principle for ventilation during general anaesthesia creates excellent working conditions for the endoscopist. The hazard at the removal of a foreign body is thereby reduced.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 1984
Case ReportsBilateral tension pneumothorax during pediatric bronchoscopy (high-frequency jet injection ventilation).
Bilateral tension pneumothorax complicating high-frequency jet injection ventilation during rigid open bronchoscopy for foreign body removal in a 3-year-old child is reported. Subcutaneous emphysema, bradycardia and low voltage of the QRS complex were the presenting symptoms. Disparition of heart dullness by percussion was the most suggestive clinical sign while auscultation of the breath sounds was not conclusive. It is stressed that tension pneumothorax is a potential life-threatening complication of high-frequency injection ventilation and should be promptly considered in any case of persistent cardiac deterioration during pediatric bronchoscopy.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 1984
Case ReportsPneumomediastinum with subcutaneous emphysema as a complication of foreign body in the bronchus.
A rare case of pneumomediastinum with subcutaneous emphysema complicating a bronchial foreign body is presented. The possible mechanisms are discussed. Although we could find no description of a similar case in the literature it is unlikely that such a complication of bronchial foreign body has not previously occurred.