International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Case ReportsAbnormal orientation of Amplatzer PDA device on a chest radiogram masking foreign body aspiration.
Foreign body aspiration and consequent atelectasis of the lower lobe of the left lung with rotation of the heart resulted in an unusual radiographic appearance in a young girl who had recently undergone transcatheter closure of a patent arterial duct and coil embolization of an aortopulmonary collateral. The patient's chest radiography, who was originally admitted at a center with no echocardiography availability, was interpreted as showing embolization of one or both devices. ⋯ Subsequently, foreign body aspiration was suspected and confirmed at bronchoscopy, and successfully treated. Atelectasis resolved within few days.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Comparative StudyChildren's pre-operative tonsillectomy pain education: clinical outcomes.
To examine the effects of pre-operative tonsillectomy pain education on children's (7-13 years) self-reported pre-operative anxiety and post-operative clinical outcomes (i.e., anxiety, pain intensity, quality of pain and sleep, oral intake, perceptions of pre-operative education, and pain expectation). ⋯ Pre-operative pain education did not affect anxiety. Children valued pre-operative pain education. Pre-operative pain education may influence children's perceptions of medical care.
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Int. J. Pediatr. Otorhinolaryngol. · Oct 2008
Case ReportsEndoscopic posterior costal cartilage graft placement for acute management of pediatric bilateral vocal fold paralysis without tracheostomy.
Endoscopic posterior cricoid split with costal cartilage graft stabilization has previously been shont to allow for glottic/infraglottic expansion in children with long standing vocal fold paralysis. We report on an extension of this technique to use in the acute setting in the management of acute BVP in children with acute upper airway obstructive symptoms.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2008
Comparative StudySinus surgery in cystic fibrosis patients: comparison of sinus and lower airway cultures.
The aim of this study is to determine whether cross-infection occurs between infections in the sinuses and lower airways in Cystic Fibrosis patients, and to determine whether the infections begin in the sinuses before spreading to the lungs. ⋯ The data showed that as patients age, they are more likely to have infections in both upper and lower airways, but infections start in the upper airways at a younger age. In many cases, organisms were cultured from sinuses in patients who had negative lower airway cultures. In only a few instances, organisms grew in the lower airways and not the sinuses. In most cases, the bacteria that caused sinus infections at a young age caused the lung infections in older patients. This is the paper to show that bacteria spread from the sinuses to the lungs to cause infections in Cystic Fibrosis patients, and not vice-versa.
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2008
Randomized Controlled Trial Comparative StudyMultiparametric comparison of cold knife tonsillectomy, radiofrequency excision and thermal welding tonsillectomy in children.
This is a prospective study evaluating certain intraoperative and postoperative parameters, comparing the relatively new technique of thermal welding tonsillectomy with cold knife tonsillectomy, and radiofrequency excision in pediatric population. ⋯ Both thermal welding and radiofrequency excision techniques have shown comparable results regarding intraoperative blood loss, postoperative hemorrhage, and pain. Compared with cold knife tonsillectomy, welding and radiofrequency excision techniques were associated with less intraoperative blood loss and duration, though cold knife tonsillectomy seems to prevail over the two techniques in terms of the postoperative pain.