Pediatric otorhinolaryngology anno 2008: towards European standards for training?

The Union Européen des Médecins Spécialistes (UEMS) has been promoting harmonization of specialist training programs in Europe. Anticipating a future contribution to a European standard for training specialists for tertiary care of children with otorhinolaryngology (ORL)-related problems this Round Table was organized by ESPO. The presentations refer to six European countries.

[Therapy of tinnitus in children].

Tinnitus in childhood is quite common when children are directly asked about this syndrom. Children rarely spontaneously complain of tinnitus. Material consists of 67 children (6-18 year old) with tinnitus, treated in the Pediatric Otolaryngology Clinic and Outpatient.

Expression of Fas ligand and CTLA4 in adenoids has a predictive value for allergic rhinitis development in children.

Background: The balance of CD28/CTLA4-derived signals and Fas-dependent apoptosis activity is determined by the peripheral defense mechanisms and might play a role in the pathogenesis of allergy.

Objectives: The aim of the study was to investigate the expression of costimulatory and pro- and antiapoptotic molecules in adenoid T cells of children suffering from allergic rhinitis and to find out which of these molecules have a predictive value in the development of allergic rhinitis.

Methods: The adenoids of 60 children, removed because of nasal obstruction, chronic rhinitis and recurrent respiratory infection, were evaluated.

[Estimation the effectiveness of cefuroxime therapy in pediatric otolaryngology].

The authors present results of retrospective clinical analysis of usefulness the cefuroxime therapy of acute ENT diseases in children. The study group consist of 886 patients, aged 4 m. to 17 year, hospitalized at the Department of Paediatric Otolaryngology between 1997-2002.

[Expression of the chosen proapoptotic and activation markers in adenoids in children with allergic rhinitis].

Naive T cells can become either tolerant or immune as a result of their first encounter with antigen. Apoptosis is the most important immunoregulatory mechanism leading to either regional tolerant or autoimmunity and allergy. The lymphatic structure closest to the nasal mucosa is the adenoid, the part of NALT - Nasal Associated Lymphoid Tissue.

[Pediatric obstructive sleep disordered breathing].

The most common sleep disorder in children is obstructive sleep apnea syndrome (OSAS). The majority of children with OSAS improve following tonsillectomy and adenoidectomy. Diagnosis of OSAS in children and adults has difference in criteria if disease and clinical picture.

Evaluation of CD25, CD152, Fas-ligand expression in the adenoids of allergic and non-allergic children: a pilot study.

Background: The nasal mucosa is the initial site in the upper airways of the host defence against antigen challenge. The lymphatic structure closest to the nasal mucosa is the adenoid. Apoptotic cell death is an important mechanism for maintaining homeostasis in the immune system, and for regulating the fates of lymphocytes following encounters with self and foreign antigens.

[Multicenter, open clinical investigation on using cefprozil in therapy of otitis media in children].

We present results of multi center, open clinical trial on using cefprozil (cephalosporin II generation) in acute otitis media in children. Results indicate very good treatments effect (89.3%) and good tolerance of the drug (10.