Publications by authors named "Uma S Ramaswamy"
Evaluation of balloon sinuplasty for the treatment of pediatric chronic rhinosinusitis.
Curr Opin Otolaryngol Head Neck Surg
December 2024
Article Synopsis
- - The review focuses on the current evidence surrounding balloon sinuplasty for treating pediatric chronic rhinosinusitis (CRS), which is ten years after the initial clinical consensus statement that deemed the treatment as lacking sufficient evidence.
- - Recent findings show that balloon sinuplasty is not cost-effective compared to procedures like adenoidectomy and endoscopic sinus surgery, although it offers benefits like shorter surgery times and less tissue damage.
- - The conclusion suggests that pediatric otolaryngologists should prioritize adenoidectomy and consider endoscopic sinus surgery, as balloon sinuplasty's effectiveness remains unproven, highlighting the need for further research.
Article Synopsis
- A study reviewed the clinical and imaging results of 17 children with an abnormal cranial nerve 7 (CN7), finding associated issues with other cranial nerves in the brainstem.
- All patients had a distinct imaging characteristic of an enlarged CN7 that took an unusual path towards the Gasserian ganglion, resulting in it being closely situated to CN5.
- Notably, many of the children had hearing loss, and a significant number of those with available birth histories had maternal or gestational diabetes, hinting at potential developmental issues during pregnancy.
The goal of this American Rhinologic Society Expert Practice Statement (EPS) is to provide recommendations and guidance through evidence-based consensus statements regarding pediatric septoplasty. This EPS was developed following the previously published methodology and approval process. The topics of interest included appropriate indications, safety and efficacy, timing, relevant quality of life instruments, and surgical techniques.
View Article and Find Full Text PDFPurpose Of Review: Over half of all patients with severe asthma have chronic rhinosinusitis (CRS). Although distinct and specialized in function and form, the upper and lower airways share similar and inter-related pathophysiologic mechanisms. The severity of CRS particularly in patients with nasal polyps can correlate with that of asthma and vice versa.
View Article and Find Full Text PDFObjective: To characterize membrane conductivity by applying mathematical modeling techniques and immunohistochemistry and to localize and predict areas of the bowel where aquaporins may be associated with edema resolution/prevention associated with hypertonic saline. Intestinal edema induced by resuscitation and mesenteric venous hypertension impairs intestinal transit/contractility. Hypertonic saline decreases intestinal edema and improves transit.
View Article and Find Full Text PDF