Cystic fibrosis exacerbations treated with medical therapy with and without concurrent sinus surgery.

Objective: This analysis investigates any potential differences in pulmonary function test (PFT) outcomes among pediatric patients with cystic fibrosis (CF) receiving both medical management (MM) and functional endoscopic sinus surgery (FESS) versus MM alone for CF exacerbation.

Study Design: Prospective cohort.

Setting: Pediatric tertiary care facility.

A randomized controlled trial of Velcro versus standard twill ties following pediatric tracheotomy.

Objectives/hypothesis: Tracheotomy is a common procedure. A reliable method of securing the tracheotomy tube is essential to minimize accidental decannulation. However, skin breakdown has been reported in ∼30% of patients.

Diagnostic Evaluation of Children with Sensorineural Hearing Loss.

The cause of pediatric sensorineural hearing loss is diverse, comprising genetic, acquired, and idiopathic conditions. Identifying the specific cause requires that children undergo thorough otolaryngologic and audiometric evaluations, which generally include laboratory tests and temporal bone imaging studies. Clinical genetics and ophthalmologic consultations are also frequently warranted.