Publications by authors named "P Campisi"
Acute suppurative thyroiditis (AST), a rare yet potentially life-threatening infection, comprises less than 1 % of neck pathologies and requires prompt treatment. Symptoms range from neck pain and fever to dysphagia and possible abscess formation. Broad-spectrum antibiotics are the primary treatment; however, surgical drainage may be necessary for abscesses to prevent systemic infection.
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- First branchial cleft anomalies are rare issues in the head and neck area that some kids are born with, and there's not much info on how to classify or treat them properly.
- * Expert doctors worked together to come up with better ways to identify and manage these anomalies using a method called the Delphi method.
- * They created a new classification system and treatment guidelines to help doctors give better care to kids with these conditions.
Purpose: Tonsillectomy is one of the most common ambulatory procedures performed in children worldwide, with around 40,000 procedures performed in Canada every year. Although a prior systematic review indicated a clear role for dexamethasone as an analgesic adjunct, the quantity effect on opioid consumption is unknown. In the current systematic review with meta-analysis, we hypothesized that the use of dexamethasone reduces perioperative opioid consumption in pediatric tonsillectomy but does not increase rates of postoperative hemorrhage.
View Article and Find Full Text PDFProposed Quality Indicators for Aspects of Pediatric Acute Otitis Media Management.
J Otolaryngol Head Neck Surg
June 2024
Article Synopsis
- Pediatric acute otitis media (AOM) is common in children, leading to concerns about overdiagnosis and overtreatment, prompting the need for specific quality indicators (QIs).
- An expert panel, utilizing the RAND/UCLA methodology, evaluated candidate indicators and ultimately agreed on 8 QIs related to antimicrobial management, referrals, and counseling for tympanostomy tubes.
- These QIs aim to address the inconsistent care in AOM diagnosis and management, enhancing adherence to guidelines and improving patient outcomes.
Context: Approximately 20% of Canadians reside in rural or remote communities where access to medical specialties such as otolaryngology remains challenging due to long wait times and distance to services. The purpose of this study was to characterize patient demographics, common clinical diagnoses, and barriers to accessing otolaryngology services, in a remote Northern Ontario setting. A secondary objective was to describe a care model that provides multi-subspecialty otolaryngology services to a remote community.
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