Objectives: Severe tracheomalacia in children is challenging to manage, and surgical options ranging from tracheostomy to posterior tracheopexy has been performed for treatment of posterior tracheomalacia, with their associated morbidities. The role of posterior external stent tracheopexy (PEXY) has not been established, and we report our experiences in treatment of severe posterior tracheomalacia using PEXY.
Methods: A retrospective review of our case series of three pediatric patients with severe posterior tracheomalacia who underwent PEXY.
Background: Hypertension guidelines recommend diagnosis and treatment of obstructive sleep apnea (OSA) in patients with hypertension. The mandibular advancement device (MAD) is an oral appliance therapy for patients who decline or cannot tolerate continuous positive airway pressure (CPAP).
Objectives: We compared the relative effectiveness of MAD vs CPAP in reducing 24-hour ambulatory blood pressure (BP).
Background Patients with prior cancer are at increased risk of acute coronary syndrome (ACS) with poorer post-ACS outcomes. We aimed to ascertain if the Global Registry of Acute Coronary Events (GRACE) score accurately predicts mortality risk among patients with ACS and prior cancer. Methods We linked nationwide ACS and cancer registries from 2007 to 2018 in Singapore.
View Article and Find Full Text PDFBackground: Lymphadenitis is the most common manifestation of non-tuberculous mycobacteria (NTM) infection in children. We describe the epidemiology and clinical characteristics of NTM lymphadenitis, determine diagnostic yield from tissue sampling, and review management and outcomes.
Methods: This was a 10-year retrospective review of children aged 0-16 years diagnosed with NTM cervicofacial lymphadenitis who were seen in a pediatric infectious disease clinic in a tertiary public hospital.
Background: We have noticed changes in paediatric anaphylaxis triggers locally in Singapore.
Objective: We aimed to describe the demographic characteristics, clinical features, causative agents and management of children presenting with anaphylaxis.
Methods: This is a retrospective study of Singaporean children presenting with anaphylaxis between January 2005 and December 2009 to a tertiary paediatric hospital.