The Journal of pediatrics
-
The Journal of pediatrics · Sep 2007
Randomized Controlled TrialA randomized, controlled trial of tonsillectomy in periodic fever, aphthous stomatitis, pharyngitis, and adenitis syndrome.
We carried out a prospective, randomized, controlled trial to clarify the effect of tonsillectomy on the clinical course of periodic fever, aphthous stomatitis, pharyngitis, and adenitis (PFAPA) syndrome. ⋯ Tonsillectomy appeared to be effective for treating PFAPA syndrome. The fever episodes ceased without any intervention in half of the control subjects. We conclude that although the mechanisms behind this syndrome are unknown, tonsillectomy can be offered as an effective intervention for children with PFAPA.
-
The Journal of pediatrics · Sep 2007
Vocal cord dysfunction and feeding difficulties after pediatric cardiovascular surgery.
To evaluate the impact of vocal cord dysfunction on feeding in children after cardiovascular surgery. ⋯ Vocal cord dysfunction after pediatric cardiovascular surgery is associated with significant feeding problems and may require prolonged gastrostomy feeding. These findings support aggressive surveillance for vocal cord dysfunction, especially in patients undergoing aortic arch surgery.
-
The Journal of pediatrics · Sep 2007
Randomized Controlled Trial Multicenter StudyNebulized hypertonic saline in the treatment of viral bronchiolitis in infants.
To investigate the use of nebulized 3% hypertonic saline (HS) for treating viral bronchiolitis in moderately ill hospitalized infants by a prospective, randomized, double-blinded, controlled, multicenter trial. ⋯ The use of nebulized 3% HS is a safe, inexpensive, and effective treatment for infants hospitalized with moderately severe viral bronchiolitis.