Pott's puffy tumor (PPT) describes forehead swelling with associated frontal bone osteomyelitis and a subperiosteal abscess (SPA) requiring a high suspicion index for optimal outcomes. PPT is a life-threatening complication of frontal sinusitis typically found in adolescents. Our case is one of the youngest in the literature.
View Article and Find Full Text PDFInt J Pediatr Otorhinolaryngol
October 2020
Objective: To introduce a novel intubation technique for difficult pediatric airways.
Methods: This two-provider technique requires a direct laryngoscope and a flexible fiberoptic laryngoscope. One provider performs direct laryngoscopy which allows for introduction of the flexible laryngoscope.
Objective: To perform a systematic review with meta-analysis of data to determine the rates of repeat surgery and supraglottic stenosis in unilateral versus bilateral supraglottoplasty for laryngomalacia.
Data Sources: PubMed/Medline, Cochrane Central, Scopus, Google Scholar, Web of Science, and Embase.
Review Methods: Databases were searched through January 30, 2018.
First branchial cleft anomalies are rare congenital defects of the head and neck. This case report presents a 12-year-old patient with a draining cutaneous pit approximately 1-cm anterior and 5-mm inferior to the right angle of the mandible. Imaging revealed a fistula between the cutaneous pit and Eustachian tube.
View Article and Find Full Text PDFObjective: To determine the successful decannulation rate with a published pediatric tracheostomy decannulation protocol.
Study Design: Case series with chart review.
Setting: A single tertiary care institution.
Objective: To systematically review the literature on anti-inflammatory medications for treating pediatric obstructive sleep apnea and perform meta-analysis of the available data.
Data Sources: PubMed/MEDLINE and 4 additional databases.
Review Methods: Three authors independently and systematically searched through June 28, 2018, for studies that assessed anti-inflammatory therapy for treatment of pediatric obstructive sleep apnea (OSA).
Int J Pediatr Otorhinolaryngol
August 2018
Objective: The objective of this study is to review the published literature on supraglottoplasty techniques for correcting laryngomalacia, and to subsequently provide a standardized classification system.
Methods: Three authors independently and systematically searched Pubmed/MEDLINE and six additional databases for all studies that included descriptions of supraglottoplasty techniques for correcting laryngomalacia. Sub-sites operated on and specific technique descriptions were reviewed, cataloged and subsequently categorized.
Introduction: The diagnosis and management of type I laryngeal clefts can be controversial and varies across centers and surgeons. Using existing peer-reviewed literature to develop an expert-based consensus will help guide physicians in the treatment of these patients as well as develop research hypotheses to further study this condition.
Objective: To provide recommendations for the diagnosis and management of type I laryngeal clefts.
Int J Pediatr Otorhinolaryngol
November 2016
Objective: To provide recommendations for the workup of hearing loss in the pediatric patient.
Methods: Expert opinion by the members of the International Pediatric Otolaryngology Group.
Results: Consensus recommendations include initial screening and diagnosis as well as the workup of sensorineural, conductive and mixed hearing loss in children.
Ann Otol Rhinol Laryngol
December 2016
Introduction: Foreign body ingestion is a common pediatric problem that can have a delayed presentation, as presented herein.
Case Report: We present the case of a 15-year-old female who developed bronchial compression and an acquired tracheoesophageal fistula secondary to a longstanding esophageal foreign body.
Discussion: There are several challenges in diagnosis and management of this unusual situation.
Objective: Demonstrate that an endoscopic keyhole approach to the middle cranial fossa is technically feasible for repair of semicircular canal dehiscence.
Study Design: Cadaveric technical feasibility/methods development study.
Setting: Tertiary care military medical center.
Int J Pediatr Otorhinolaryngol
February 2016
Dystrophic calcification, the ectopic deposition of calcium in previously damaged or inflamed tissues, is an uncommon finding in the head and neck. Only a few cases have been reported in the parotidomasseteric region, and all of them have been located within and adjacent to the masseter. We present a case of dystrophic calcification occurring entirely within the parotid gland in a 7-year-old girl without apparent inciting inflammation, infection, or trauma.
View Article and Find Full Text PDFJAMA Otolaryngol Head Neck Surg
July 2014
Importance: Sleep-associated upper-airway obstruction in children is a significant cause of morbidity. Development of a simple, standardized, quantitative technique to assess anatomic causes of sleep-related breathing disorder is important for surgical planning, clinical communication, and research.
Objective: To design, implement, and evaluate a scoring system to quantify airway obstruction in pediatric drug-induced sleep endoscopy.
Arch Otolaryngol Head Neck Surg
July 2010