Publications by authors named "J R Nichani"

Background: Acute otitis media with discharge (AOMd) results from a tympanic membrane perforation secondary to a middle ear infection. Currently, the impact of AOMd on children and young people (CYP) and their families is not well understood. There is also a need to explore the experience of healthcare professionals in treating AOMd.

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Article Synopsis
  • Pediatric ENT surgeons in the UK noticed an unusual increase in severe head and neck abscesses during the winter of 2022/3, prompting a study to validate this trend and explore associated factors.
  • A multicentre study collected data from 262 patients admitted with head and neck abscesses between September 2022 and February 2023, revealing a significant rise in group A streptococcus cases and complications like venous thrombosis during the winter months.
  • Despite the observed increases in certain complications, the overall number of abscess cases fell within expected historical ranges, indicating that the winter 2022/2023 rates were consistent with pre-COVID trends in pediatric cases.
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Background: Paediatric otorrhoea (PO) is a symptom-based diagnosis encompassing acute and chronic ear infections that cause otorrhoea in children and young people (CYP).

Aim: To understand the burden of PO on primary care services.

Design And Setting: This was a longitudinal population study in UK primary care.

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Background: Despite the proven audiological benefits of Percutaneous Bone Anchored Hearing Aids (BAHAs) in paediatric patients with conductive or mixed hearing loss, their adoption has been limited due to concerns over implant failure and associated complications. This paper conducts a systematic review and meta-analysis to assess the prevalence of implant failure in paediatric populations, combined with a case series from our tertiary referral centre.

Methods: A comprehensive literature search identified 562 articles, from which 34 were included in the review, covering 1599 implants in 1285 patients.

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