Long term outcome of laryngeal mobility disorder and quality of life after pediatric cardiac surgery.

Introduction: Laryngeal mobility disorder after a pediatric heart surgery is common (between 5 and 10% of cases), and has important consequences on swallowing, breathing and speaking. After reviewing the literature, the recovery rate is variable and the postoperative follow-up is often done on a short time frame. The primary objective of the study is to describe the recovery from laryngeal mobility disorder with a follow-up time of at least 5 years.

Feasibility of day-case pediatric cochlear implantation.

Purpose: Pediatric cochlear implantation is performed on an outpatient basis in an inconstant way. The aim of this study is to assess the feasibility of day-case pediatric cochlear implantation by determining the acceptability of outpatient-to-inpatient conversion rate (acceptability threshold of 5%) and to assess the safety by comparing outpatient and inpatient postoperative events. We also want to identify conversion predictive factors.

Fusobacterium necrophorum, a major provider of sinus thrombosis in acute mastoiditis: A retrospective multicentre paediatric study.

Objective: To evaluate in children the clinical severity and evolution of otogenic lateral sinus thrombosis (OLST) due to Fusobacterium necrophorum compared with other bacterial otogenic thrombosis and propose a specific management flowchart for Fusobacterium OLST.

Design: A retrospective multicentre cohort study.

Settings: Four French ENT paediatric departments.

The use of CT-scan in foreign body aspiration in children: A 6 years' experience.

Introduction: A foreign body aspiration is a risky situation, common in pediatric emergency. The "gold standard" to rule out a foreign body or proceed to its extraction, is rigid bronchoscopy (RB) under general anesthesia. However, RB is an intrusive exam with possible complications.

Diagnostic performance of multidetector computed tomography for foreign body aspiration in children.

Objective: To evaluate the sensitivity of multidetector computed tomography for confirming suspected foreign body aspiration into the airways in children.

Method: We conducted a multicentre prospective study of 303 children evaluated using multidetector computed tomography with axial analysis complemented by multiplanar reconstruction when required. The images were read by a radiologist before endoscopy then reviewed later by a senior radiologist blinded to the endoscopy findings.

Propranolol as first-line treatment of head and neck hemangiomas.

Objectives: To report the efficacy of propranolol as first-line treatment of head and neck hemangiomas in children and to present an optimized protocol for treating hemangiomas.

Design: Multi-institutional retrospective study.

Setting: Two tertiary care referral pediatric centers.

Fusion of MRIs and CT scans for surgical treatment of cholesteatoma of the middle ear in children.

Objective: To evaluate the efficiency of diffusion-weighted magnetic resonance imaging (MRI) and high-resolution computed tomographic (CT) scan coregistration in predicting and adequately locating primary or recurrent cholesteatoma in children.

Design: Prospective study.

Setting: Tertiary care university hospital.

Prognostic factors of recurrent respiratory papillomatosis from a registry of 72 patients.

Conclusions: The database revealed severity factors relating to human papillomavirus (HPV) type and age at diagnosis. While not exhaustive, the database is easy to use and could serve for a European multicentre epidemiological study.

Objectives: To propose a database as a starting point for a national registry and to estimate prognostic factors in recurrent respiratory papillomatosis (RRP).

Thulium laser in airway diseases in children.

Purpose Of Review: To specify the characteristics of the thulium laser and to evaluate the advantages and possibilities of treatment with this laser in laryngotracheal diseases in children.

Recent Findings: Fiber-based lasers have facilitated a new style of surgery. When performing therapeutic airways endoscopies there is the possibility of good control of lesions and adequate visualization of the surgical field using the telescope.