International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2011
Comparative StudyEarly prelingual auditory development and speech perception at 1-year follow-up in Mandarin-speaking children after cochlear implantation.
The primary purpose of the current study was to evaluate early prelingual auditory development (EPLAD) and early speech perception longitudinally over the first year after cochlear implantation in Mandarin-speaking pediatric cochlear implant (CI) recipients. Outcome measures were designed to allow comparisons of outcomes with those of English-speaking pediatric CI recipients reported in previous research. ⋯ EPLAD and early speech perception exhibited similar patterns of improvement during the first 12 months after early cochlear implantation. The duration of pre-implant hearing aid use had a significant positive effect on both categories of outcome measures. Consistent post-implant EPLAD trajectories and early speech perception results provide objective evidence that can guide best practices in early intervention protocols.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2011
Comparative StudyA pilot study to identify pre- and peri-operative risk factors for airway complications following adenotonsillectomy for treatment of severe pediatric OSA.
A pilot study to identify risk factors predicting post-operative complications in children with severe OSA undergoing adenotonsillectomy. ⋯ This pilot study identified pre- and peri-operative risk factors that collectively can be investigated as predictors of post-operative airway complications in a prospective study. By identifying preliminary results comparing the complication rates between those children with and without these risk factors, we will be able to calculate the sample size for a future prospective validation study. Such a study is necessary to understand the safety and potential significant cost savings of observing children without risk factors on the pediatric floor and not in an ICU setting. A best practice algorithm can be created for children with severe OSA only after completing this prospective study.
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Int. J. Pediatr. Otorhinolaryngol. · Nov 2011
Comparative StudyPredicting complications after adenotonsillectomy in children 3 years old and younger.
To identify risk factors for complications in the first 24h after surgery in the young (<4 years old) adenotonsillectomy patient. ⋯ Knowing the stated risk factors for complications in the early post-operative period after adenotonsillectomy in the younger pediatric patient can help select certain patients for closer monitoring. Specifically, children aged 1-2 years old with a history of nasal obstruction from large adenoids, gastroesophageal reflux disease, prematurity, and/or cardiovascular anomalies appear to be at higher risk for early complications and should warrant closer observation.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2011
Changes in sleep apnea after supraglottoplasty in infants with laryngomalacia.
To determine the clinical and polysomnography outcomes in infants with laryngomalacia undergoing supraglottoplasty. ⋯ Supraglottoplasty may be an effective and safe option to improve moderate to severe obstructive sleep apnea in infants with laryngomalacia. In addition, polysomnography may be useful in infants with laryngomalacia to identify obstructive sleep apnea and/or to objectively measure outcomes after supraglottoplasty. This pilot study warrants a larger, prospective, and controlled study to validate these findings.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2011
Acoustic estimates of respiration in the pain cries of newborns.
The purpose of the present study was to examine the temporal features of pain-elicited crying demonstrated by healthy full term infants to estimate (1) the respiratory rate during cry and (2) the inspiratory and expiratory phase composition of the cry respiratory cycle. ⋯ The respiratory patterns associated with pain cries is highly variable and may be associated with variations in stress-arousal, strength of emotional expression, and overall fitness. This study supports the notion that the respiratory activity surrounding newborn infant crying is unique to the type of cry sampled.