International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2012
Comparative StudyComparison between tracheal foreign body and bronchial foreign body: a review of 1,007 cases.
To determine the differences between tracheal foreign body aspiration and bronchial foreign body aspiration. ⋯ The nature of tracheal foreign body aspiration is different from bronchial aspiration. Clinical presentation and pre-operative radiographic findings are helpful for diagnosis. The clinician should understand the differences between tracheal and bronchial FB cases and provide the appropriate management when either is presented.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2012
Randomized Controlled Trial Comparative StudyComparison of ropivacaine, bupivacaine and lidocaine in the management of post-tonsillectomy pain.
To compare the efficacy of preoperative peritonsillar injection of ropivacaine, bupivacaine and lidocaine for pediatric tonsillectomy. ⋯ Ropivacaine infiltration is as effective as bupivacaine for post-tonsillectomy pain management in children. In view of potential side effects of bupivacaine-epinephrin combination, ropivacaine is a safer choice, for post-tonsillectomy pain relief.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2012
Comparative StudyTo drain or not to drain - management of pediatric deep neck abscesses: a case-control study.
Optimal management of deep neck abscesses has been the subject of debate for more than a century: surgical drainage has been the mainstay of treatment, but recently many centres have reported successful non-operative management in selected cases. ⋯ High dose intravenous antibiotics are an effective treatment for deep space neck abscesses and may obviate the need for surgical drainage, particularly in smaller abscesses. Children who do not respond quickly to antibiotics are more likely to require surgery to achieve resolution. Children with larger abscesses may respond to antibiotic therapy alone but should be closely observed. A trial of high dose intravenous antibiotics in stable children with close observation is warranted as first line treatment, especially for small deep space neck abscesses.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2012
Comparative StudyPatterns of injury and otolaryngology intervention in pediatric neck trauma.
Neck trauma in the pediatric population is relatively rare with limited discussion in the literature describing the injury patterns and outcomes of all neck trauma victims. This study characterizes pediatric neck trauma both inside and outside the context of injuries requiring otolaryngology (ENT) intervention. ⋯ Pediatric neck trauma represents a spectrum of injuries from ecchymosis to major laryngotracheal injury. Otolaryngology involvement is not necessary in all cases; however, one must be aware of the risk of laryngotracheal injury, particularly with blunt trauma and there should be a low threshold for Otolaryngology consultation and endoscopy.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2012
Comparative StudyRelationship between adenoid size and severity of obstructive sleep apnea in preschool children.
To investigate the contributions of adenoid and tonsil sizes to obstructive sleep apnea syndrome (OSAS) in normal-weight children in two age categories: preschool and schoolchildren. ⋯ Adenoid hypertrophy was a major contributor to OSAS in normal-weight preschool children. The upper airway morphology of younger children with OSAS differed from that of older children with OSAS.