International journal of pediatric otorhinolaryngology
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Int. J. Pediatr. Otorhinolaryngol. · Sep 2008
Impact of tonsillectomy on pediatric psychological status.
Tonsillectomy is one of the most commonly performed procedures in children. However, parents often hesitate to agree to the procedure because of concerns of the possible harmful impact on their child's psychological health. The present study was performed to examine the short-term psychological impact on children who had undergone tonsillectomy. ⋯ Improvements in general emotional and social status were observed at 3 weeks after tonsillectomy. Tonsillectomy itself does not have a harmful effect on children's psychological status.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2008
Randomized Controlled TrialTube associated otorrhea in children with recurrent acute otitis media; results of a prospective randomized study on bacteriology and topical treatment with or without systemic antibiotics.
To establish if otorrhea associated to tympanostomy tubes in infants suffering from recurrent acute otitis media is similar to acute otitis media, and if topical treatment alone is sufficient or if addition of systemic antibiotics is required. ⋯ The otorrhea episodes in the study were similar to acute otitis media based on the bacteriological results. Topical treatment alone might be used as first treatment of choice. Although systemic antibiotics were added in several cases in the topical treatment group, the findings of the study do not support use of systemic antibiotics for tube associated otorrhea in RAOM children in general.
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Int. J. Pediatr. Otorhinolaryngol. · Aug 2008
Ten-year experience in microtia reconstruction using tissue expander and autogenous cartilage.
Ear reconstruction is a complex multi-staged procedure in otology. A variety of surgical strategies have been devised for the reconstruction. In this paper, we present our 10-year experience in microtia reconstruction using tissue expander and autogenous cartilage in microtia reconstruction. ⋯ Techniques using tissue expander and autogenous cartilage in microtia reconstruction was easily done and the complications were rare.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2008
Randomized Controlled Trial Comparative StudyPartial tonsillectomy with scalpel in children with obstructive tonsillar hypertrophy.
To compare postoperative pain of partial tonsillectomy (PT) with scalpel and total classical tonsillectomy (TT). ⋯ Unlike tonsillectomy, PT aims to remove the tonsilla palatina subtotally. It is especially performed in children with obstructive tonsils. PT with scalpel is an inexpensive and safe method necessitating only standard surgical instruments. It causes less postoperative pain than classical dissection tonsillectomy.
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Int. J. Pediatr. Otorhinolaryngol. · Jul 2008
Randomized Controlled Trial Comparative StudyBlunt dissection versus electronic molecular resonance bipolar dissection for tonsillectomy: operative time and intraoperative and postoperative bleeding and pain.
To compare operative time, intraoperative and postoperative bleeding and pain using two different techniques for tonsillectomy: electronic molecular resonance bipolar tonsillectomy and blunt dissection tonsillectomy. ⋯ This study showed that the use of electronic molecular resonance bipolar tonsillectomy, compared to blunt dissection, has several advantages. Reduced operative time and intraoperative bleeding make EMRBT more cost effective and allow an increased number of operations. Concerning postoperative pain, the two techniques did not present significant differences in the use of analgesics. The number of postoperative bleeding episodes was also similar in the two groups of patients.