International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2012
Pott's puffy tumor in pediatric age group: a retrospective study.
To study the etiology, clinical features and treatment outcomes of pediatric Pott's puffy tumor (PPT). ⋯ PPT is a complicated infection of frontal sinusitis and trauma that requires broad spectrum antibiotics and surgical treatment. Diagnosis is made by high clinical suspicion of this condition and confirmed by CECT. Early treatment results in favorable outcomes and decreases the risk of further complications.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2012
Case ReportsPeripheral facial palsy after adenotonsillectomy in children.
Transient facial palsy is a rare complication after adenotonsillectomy. In this study, we report two cases who developed unilateral peripheral facial palsy immediately after adenotonsillectomy. ⋯ We assumed the possible mechanism was deep infiltration of the local anesthetics into parapharyngeal space and then the direct action on the facial nerve. Therefore, we suggest three policies to avoid this complication: (1) inject the local anesthetics exactly into peritonsillar space, (2) avoid repeated injections or overdose, (3) slowly and gently inject the local anesthetics.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2012
Oral and oropharyngeal impalement injury in pediatric patients--focus on rural environment.
This article describes a case series of oral and oropharyngeal impalement injuries in pediatric patients and highlights the peculiar etiological role of the rural environment. ⋯ Although the risk of infection post-oropharyngeal impalement injury is reported to be low, it remains, however, a legitimate concern in cases occurring in the rural environment. The specific challenges in terms of health infrastructures in the rural environment, especially in developing countries, may have an impact on the ways oropharyngeal impalement injuries are managed.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2012
S-shaped tracheostoma in pediatric tracheostomy using three-dimensional sigma-plasty--a novel technique to possibly reduce procedure related complications.
We have designed a technique of tracheostomy in pediatric patients with S-shaped incision on the tracheal wall which we think, provides a larger cross-sectional area of stoma and facilitates easier insertion of tracheostomy tube and thus helped in reducing early and late complications associated with it in our series. ⋯ S-shaped tracheoplasty, a new pediatric tracheotomy technique has resulted in a quantifiable reduction in the risk of the early and late complications in our series. Hence, we feel that this new technique is a better alternative to existing methods but larger randomized controlled studies are required before universal adoption of this technique.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2012
Comparative StudyThe effect of paracetamol, metamizole sodium and ibuprofen on postoperative hemorrhage following pediatric tonsillectomy.
To determine the risk of postoperative hemorrhage associated with the use of analgesic drugs including paracetamol, metamizole sodium and ibuprofen after pediatric tonsillectomy. ⋯ In our study we could not show significant risk of hemorrhage after using of ibuprofen, metamizole sodium and paracetamol administration and they can be used safely for posttonsillectomy pain.