Novel use of a swimming pool biocide in the treatment of a rare fungal mastoiditis.

Objective: To describe an extremely rare fungal mastoiditis caused by Lecythophora hoffmannii, its recalcitrant behavior to therapy, and eventual successful treatment with adjunctive therapy using polyhexamethylene biguanide (a common swimming pool biocide).

Study Design: Case report and review of literature of human Lecythophora hoffmannii infections.

Methods: Medline database was searched using the keywords Lecythophora and hoffmannii.

Laryngeal dystonia causing inspiratory stridor in children with cerebral palsy.

OBJECTIVE To present three cases of inspiratory stridor caused by laryngeal dystonia (LD) in children with cerebral palsy (CP), one of whom is being treated by periodic botulinum toxin type A (BTX) injection into a vocalis muscle, thereby avoiding tracheostomy. STUDY DESIGN Case series. RESULTS AND CONCLUSIONS Laryngeal dystonia was diagnosed in three children with CP who presented with inspiratory stridor associated with generalized dystonia, all of whom were thought previously to have had laryngomalacia.

Head and neck manifestations of cystic fibrosis and ciliary dyskinesia.

Cystic fibrosis and the various conditions associated with ciliary dysmotility are well known to the otolaryngologist. Although the underlying pathophysiology and clinical courses of these diseases are quite different, they both involve chronic and acute infection in the paranasal sinuses. Some patients may suffer from persistent ear disease beyond early childhood.

Validation of an outcomes instrument for tonsil and adenoid disease.

Objective: To design and validate a disease-specific health status instrument-the Tonsil and Adenoid Health Status Instrument-for use in children with tonsil and adenoid disease.

Design: Prospective psychometric and clinimetric instrument validation in 3 stages.

Settings: A tertiary academic pediatric specialty hospital and a tertiary academic hospital, in 2 different cities.

Quality of life and health status in pediatric tonsil and adenoid disease.

Objective: To assess the baseline global health status and quality of life (QOL) in children with tonsil and adenoid disease.

Design: Cross-sectional multicenter survey series.

Settings: A tertiary academic pediatric specialty hospital and a tertiary academic hospital in 2 different cities.