International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · May 2013
Proper size of endotracheal tube for cleft lip and palate patients and intubation outcomes.
The aim of the current study was to identify the proper size of endotracheal tube for intubation of cleft lip and palate patients and intubation outcomes in these patients. ⋯ Findings proved that considering subglottic stenosis incidence in these children, it is reasonable to determine the tube size for nonsyndromic cleft lip and palate patients by applying the currently available standards for normal children.
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Int. J. Pediatr. Otorhinolaryngol. · May 2013
The effects of office-based frenotomy for anterior and posterior ankyloglossia on breastfeeding.
The objectives of this study were to assess the effect of office-based frenotomy on reversing breastfeeding difficulties among infants with problematic ankyloglossia, and to examine characteristics associated with anterior and posterior ankyloglossia. ⋯ Breastfeeding difficulties associated with ankyloglossia in infants, particularly posterior, can be improved with a simple office-based procedure in most cases. The diagnosis and treatment of ankyloglossia should be a basic competency for all primary care providers and pediatric otorhinolaryngologists.
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Int. J. Pediatr. Otorhinolaryngol. · May 2013
Complementary and alternative medicine use among patients presenting to a pediatric otolaryngology clinic.
This study sought to quantify and characterize complementary and alternative medicine (CAM) use among patients presenting to a pediatric otolaryngology clinic with the aim of increasing CAM use awareness for the practicing pediatric otolaryngologist. ⋯ A significant proportion of pediatric otolaryngology patients utilized CAM in our study population. The most commonly used agents are mostly benign, but others may have more unknown consequences. It is crucial that otolaryngologists ask specifically about these agents, as they potentially interact with prescription medications and some may lead to surgical complications.
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Int. J. Pediatr. Otorhinolaryngol. · May 2013
The evaluation of adenotonsillectomy on TNF-α and IL-6 levels in obese children with obstructive sleep apnea.
(1) To evaluate the effect of adenotonsillectomy (T&A) on clinical signs in obese children with obstructive sleep apnea (OSA); (2) to evaluate the changes in tumor necrosis factor-α (TNF-α) and interleukin (IL)-6 levels pre- and post-surgery; and (3) to determine a potential explanation for changes in cytokine levels after T&A therapy. ⋯ T&A therapy can improve clinical symptoms and signs but is not a cure for the treatment of obese children with OSA. The inflammation levels of TNF-α and IL-6 changed little. To reduce the risk for excessive daytime sleepiness, supplementary therapies should be introduced for OSA.
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Int. J. Pediatr. Otorhinolaryngol. · Apr 2013
Division of tongue tie as an outpatient procedure. Technique, efficacy and safety.
Assessment of the clinical presentations and the outcome of tongue tie division under local anesthesia. ⋯ Tongue tie division is a simple procedure with minimal complications. It can be undertaken under local anesthesia within first 3 months of life in the outpatient environment. Timely diagnosis, referral and treatment can make a difference in breast-feeding and weight gain.