Archives of otolaryngology--head & neck surgery
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Arch. Otolaryngol. Head Neck Surg. · Dec 2011
Sleep-disordered breathing and transcranial Dopplers in sickle cell disease.
To determine the prevalence of sleep-disordered breathing in children with sickle cell disease and whether there is an association of sleep-disordered breathing with high-risk transcranial Doppler ultrasonography (TCD) velocities. Study ⋯ There is a high prevalence of snoring and sleep-disordered breathing among children with sickle cell disease, but our results do not support an association with cerebrovascular risk.
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Arch. Otolaryngol. Head Neck Surg. · Dec 2011
Utility of preoperative cardiac evaluation in pediatric patients undergoing surgery for obstructive sleep apnea.
To identify the prevalence of clinically relevant findings during cardiac evaluations of pediatric patients with obstructive sleep apnea (OSA) undergoing adenotonsillectomy (TA), and to determine the association between cardiac findings and postoperative respiratory complications. ⋯ The lack of clinically relevant findings during preoperative cardiac evaluations suggests that aggressive cardiac workup in pediatric patients with OSA may not be indicated unless dictated by comorbidities. Consistent with results in prior studies, preoperative AHI can identify patients at risk for respiratory complications following TA.
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Arch. Otolaryngol. Head Neck Surg. · Dec 2011
Multicenter Study Clinical TrialIntraoperative laryngeal electromyography in children with vocal fold immobility: results of a multicenter longitudinal study.
To determine whether laryngeal electromyography (LEMG) can predict recurrent laryngeal nerve function return in children and whether LEMG can aid in the management of vocal fold immobility (VFI). ⋯ Intraoperative LEMG is a safe, easy-to-use method for determining the likelihood of recurrent laryngeal nerve function return in children who have undergone patent ductus arteriosus ligation, in children with centrally correctable lesions, and in children with idiopathic VFI. More work is needed in the area of pediatric LEMG, but it is possible that LEMG data can be used to aid in management strategies and provide families with more information to make better informed decisions regarding their child's care.