International journal of pediatric otorhinolaryngology
-
Int. J. Pediatr. Otorhinolaryngol. · Jul 2008
Fatal and non-fatal food injuries among children (aged 0-14 years).
To identify and characterize food items with high risk of airway obstruction in children younger than 15 years. ⋯ Children younger than 3 years remain at greatest risk of food injury and death. We found that hard, round foods with high elasticity or lubricity properties, or both, pose a significant level of risk. Consideration of the key characteristics of the most hazardous foods may greatly decrease airway obstruction injuries. Food safety education can help pediatricians and parents select, process, and supervise appropriate foods for children younger than 3 years to make them safer for this highest-risk population.
-
Int. J. Pediatr. Otorhinolaryngol. · Jun 2008
Body position and obstructive sleep apnea in 8-12-month-old infants.
To determine the association between body position and obstructive events during sleep as determined by polysomnography (PSG) in infants of ages 8-12 months with obstructive sleep apnea (OSA). ⋯ There was no significant effect of body position on sleep-disordered breathing in 8-12 months old infants, although REM sleep represented a significant risk factor for OSA.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2008
Randomized Controlled TrialThe effects of levobupivacaine versus levobupivacaine plus magnesium infiltration on postoperative analgesia and laryngospasm in pediatric tonsillectomy patients.
The aim of this study was to evaluate whether the addition of magnesium to levobupivacaine will decrease the postoperative analgesic requirement or not, and to investigate the possible preventive effects on laryngospasm. ⋯ Levobupivacaine and Levobupivacaine plus magnesium infiltration decrease the post-tonsillectomy analgesic requirement. Insignificant preventive effect of low doses of magnesium infiltration on laryngospasm observed in this study needs to be clarified by larger series.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2008
Review Case ReportsIntra-parotid facial nerve multiple plexiform neurofibroma in patient with NF1.
Primary neurogenic tumours of facial nerve are uncommon with the majority found intra-temporally. Intracranial and intra-parotid neoplastic involvement of cranial nerve VII is much less common. There are 11 reported cases, in the English-language literature, of intra-parotid facial nerve plexiform neurofibromas with eight of them associated with NF1. ⋯ Indication and timing of surgery, in paediatrics patients with NF1, are complex. To avoid eventual physical and psychological consequences, it seems prudent to delay surgery as long as it is feasible for otherwise asymptomatic paediatric patients with facial plexiform neurofibroma.
-
Int. J. Pediatr. Otorhinolaryngol. · May 2008
Lung recovery after rigid bronchoscopic removal of tracheobronchial foreign bodies in children.
Foreign body (FB) aspiration affects lung function and often results in pulmonary complications. We have assessed the clinical and radiological predictors of delayed lung recovery after rigid bronchoscopic removal of airway FBs. ⋯ Delayed lung recovery after rigid bronchoscopic removal of tracheobronchial FBs can be predicted by FB-induced inflammatory chest radiologic findings and the unsuccessful or complicated removal of airway FBs.