International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Feb 2011
Comparative StudyVitamin D and tonsil disease--preliminary observations.
To estimate the prevalence of 25(OH) vitamin D deficiency in children undergoing (adeno)tonsillectomy. ⋯ Seventy-eight percent of Auckland children undergoing (adeno)tonsillectomy had a 25(OH) vitamin D level<75nmol/L, a level which is associated with an increased incidence of upper respiratory tract infection. Low 25(OH) vitamin D levels were related to a darker skin, increased BMI and larger assessed tonsil size. The association of larger tonsil size with lower 25(OH) vitamin D status needs further evaluation but offers a potential explanation why black and Hispanic children are more likely than white children to have (adeno)tonsillectomy for snoring or obstructive sleep apnoea.
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Int. J. Pediatr. Otorhinolaryngol. · Jan 2011
Randomized Controlled Trial Comparative StudyTopical bupivacaine compared to lidocaine with epinephrine for post-tonsillectomy pain relief in children: a randomized controlled study.
To compare the topical administration of bupivacaine hydrochloride, lidocaine hydrochloride with epinephrine and saline in alleviating post tonsillectomy pain. ⋯ Topical administration of bupivacaine hydrochloride proved to provide more efficient pain control than both saline and lidocaine without any drug related complication.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Endoscopic anterior cricoid split and balloon dilation in pediatric subglottic stenosis.
To analyze the outcome of a new endoscopic approach for the treatment of pediatric subglottic stenosis. ⋯ EACS is a safe and efficient technique to treat pediatric subglottic stenosis, regardless of their grade and length, provided to associate it with postoperative laryngeal stenting and regular endoscopic follow-up with possible additional balloon dilations. In our teams, it has become the first line treatment for most grades II to IV SGS. Its indications can be extended to congenital stenosis with cartilaginous involvement and to long-lasting acquired stenosis with firm fibrosis.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Randomized Controlled Trial Comparative StudyEfficacy of manual jet ventilation using Manujet III for bronchoscopic airway foreign body removal in children.
To evaluate the efficacy of a manual jet ventilation device for bronchoscopic removal of foreign bodies in children. ⋯ This study confirmed the safety and efficacy of performing manual jet ventilation with Manujet III in foreign body removal by rigid bronchoscopy in children.
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Int. J. Pediatr. Otorhinolaryngol. · Dec 2010
Randomized Controlled TrialMagnesium sulphate infusion is not effective on discomfort or emergence phenomenon in paediatric adenoidectomy/tonsillectomy.
This study was performed to evaluate the possible influence of magnesium sulphate which has sedative and analgesic properties on sevoflurane-induced emergence agitation in paediatric patients undergoing adenoidectomy with or without tonsillectomy. ⋯ Magnesium sulphate infusion has no influence on sevoflurane-induced discomfort or emergence agitation.