Pott's Puffy Tumor: A Rare, Life-Threatening Presentation of Periorbital Edema.

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.

Aerodigestive clinic reduces emergency department and primary care utilization and increases access to ancillary and specialty care.

Objective: The study aimed to evaluate the effect of the aerodigestive clinic (ADC) on healthcare utilization.

Study Design: Retrospective quality improvement project; before and after.

Setting: The ADC at Tripler Army Medical Center (TAMC) in Honolulu, HI.

Direct laryngoscopy assisted fiberoptic intubation: A novel technique for the pediatric airway.

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.

Unilateral vs Bilateral Supraglottoplasty: A Meta-analysis of Rates of Return to Surgery and Supraglottic Stenosis.

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 fistula (Work Type 2) with an internal opening to the Eustachian tube: Case report and review of literature.

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.

Pediatric Tracheostomy Decannulation: 11-Year Experience.

Objective: 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.

Montelukast and Nasal Corticosteroids to Treat Pediatric Obstructive Sleep Apnea: A Systematic Review and Meta-analysis.

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).

Supraglottoplasty surgery types 1-3: A practical classification system for laryngomalacia surgery.

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.

Ectopic Thymic Cyst of the Subglottis: Considerations for Diagnosis and Management.

Objectives: To share the diagnostic and management challenges created by an extremely rare airway lesion-the subglottic ectopic thymic cyst.

Study Design: Case report and literature review.

Methods: We review the presentation, management, and clinical course of an infant who presented with a subglottic mass that was histologically confirmed as a thymic cyst.

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts.

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.

International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Hearing loss in the pediatric patient.

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.

Bronchial Compression and Tracheosophageal Fistula Secondary to Prolonged Esophageal Foreign Body.

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.

International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations.

Objective: To provide recommendations for the comprehensive management of young infants who present with signs or symptoms concerning for laryngomalacia.

Methods: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG).

Results: Consensus recommendations include initial care and triage recommendations for health care providers who commonly evaluate young infants with noisy breathing.

Cadaveric Study of an Endoscopic Keyhole Middle Fossa Craniotomy Approach to the Superior Semicircular Canal.

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.

Dystrophic calcification: A rare pediatric parotid mass.

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.

Trends in orbital complications of pediatric rhinosinusitis in the United States.

Importance: Several studies have documented the prevalence and treatment of orbital complications secondary to pediatric rhinosinusitis, but to our knowledge, none have investigated the national health care burden of this disease since the introduction of the heptavalent pneumococcal vaccine (PCV-7).

Objective: To identify the current public health burden of orbital complications of pediatric rhinosinusitis, and to determine if the introduction of the PCV-7 has resulted in a change in national practice patterns.

Design, Setting, And Participants: Population-based study using the 2000 and 2009 Kids' Inpatient Databases to gather data on a sample of all pediatric discharges in the United States during the years 2000 and 2009.

A new scoring system for upper airway pediatric sleep endoscopy.

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.

An evaluation of varying protocols for high-level disinfection of flexible fiberoptic laryngoscopes.

Objectives/hypothesis: The use of flexible fiberoptic laryngoscopes (FFLs) is ubiquitous in otolaryngology practices. As with any medical device, there exists a small risk for transmission of pathogenic microorganisms between patients, necessitating high-level decontamination between uses. Most of the literature to date has studied channeled scopes such as those used in esophagogastroduodenoscopy and colonoscopy.