International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2014
Review Case ReportsPostoperative recurrent tracheoesophageal fistula: an unusual complication of oxidized regenerated cellulose (Surgicel®).
Oxidized regenerated cellulose (Surgicel(®)) is a commonly used material in Pediatric Surgery. We present a case of recurrent tracheoesophageal fistula (RTEF) repaired by Surgicel(®). In this case, tracheoesophageal fistula (TEF) recurred due to migration of Surgicel into the tracheal and esophageal lumen.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2014
Case ReportsUse of an endoscopic urology basket to remove bronchial foreign body in the pediatric population.
Foreign body (FB) aspiration is a common problem in the pediatric population. Rigid bronchoscopy is considered the treatment of choice for removal of tracheobronchial FB. ⋯ This report's main purpose is to inform physicians on the benefit of flexible bronchoscopy and of the potential use of the endoscopic urology basket for tracheobronchial FB retrieval. We hope that the flexible bronchoscopy and the endoscopic basket will become a standard tool in FB retrieval kits for pediatric otolaryngologists who deal with this issue on a routine basis.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2014
Comparative StudyBenefits of ultrasound vs. computed tomography in the diagnosis of pediatric lateral neck abscesses.
There are no studies comparing the accuracy of ultrasound and computed tomography in the same population of pediatric patients with lateral neck abscesses. This case series assesses the accuracy of the two imaging techniques. ⋯ This study demonstrates that ultrasound may be an equivalently sensitive and more specific diagnostic tool when compared to CT in the work-up of lateral neck abscesses in children. It is safe and effective in diagnosis when there is an undetermined probability of an abscess.
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Int. J. Pediatr. Otorhinolaryngol. · Mar 2014
Office-based lower airway endoscopy (OLAE) in pediatric patients: a high-value procedure.
Office-based lower airway endoscopy (OLAE) is not a widespread practice in children due to concerns about its safety and efficacy. In 2003, we reported on OLAE in 105 children presenting with airway symptoms and found it both safe and effective as a diagnostic tool. The current study is a follow-up to the 2003 study that reports on an additional 122 pediatric patients who received OLAE with special attention to the safety and efficacy of the procedure. ⋯ OLAE continues to be a safe, efficacious, and cost-effective tool for the diagnosis of lower airway pathology in pediatric patients.