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| http://dx.doi.org/10.14639/0392-100X-N0150 | DOI Listing |
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Objectives: To evaluate the otolaryngology surgical capacity in Harare, Zimbabwe by analyzing procedural volumes across four hospitals, one private and three public, from 2019 to 2022.
Methods: A retrospective review of hand-written surgical case logs was conducted at Harare Eye, Ear, Nose, and Throat Institute (HEENT), Parirenyatwa Group of Hospitals (PGH), Sally Mugabe Children's Hospital (SMCH), and Sally Mugabe Adult's Hospital (SMAH). Patient age and surgical intervention for all otolaryngology surgeries performed in the operating room from 2019 to 2022 were recorded.
Pediatric endoscopic sinus surgery: Revisited 35 years later.
Am J Otolaryngol
December 2024
Department of Otolaryngology - Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, United States of America.
Over the past 35 years, pediatric endoscopic sinus surgery (PESS) has significantly evolved from its inception as a novel intervention to become a cornerstone in the management of pediatric sinus disorders. This evolution is reflective of a broader shift towards a more nuanced understanding and treatment of pediatric chronic rhinosinusitis (PCRS), marked by the introduction of comprehensive guidelines and the refinement of surgical indications. Recent literature and the extensive experience of the senior author, who has been at the forefront of utilizing PESS since its inception, highlight a noticeable shift in the procedure's utilization.
View Article and Find Full Text PDFVomer-to-nasopharyngeal widths and post-adenoidectomy outcomes in children: A prospective blinded study.
Int J Pediatr Otorhinolaryngol
December 2024
Department of Otolaryngology-Head and Neck Surgery, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Objectives: The vomer is an essential component of the nasopharynx. Although variations in vomer width(VW) and nasopharyngeal width(NW) can be observed, their clinical significance on post-adenoidectomy outcomes in children with sleep-disordered breathing and obstructive sleep apnea(SDB-OSA) remains uncertain. The primary outcome was to investigate the association between VW and post-adenoidectomy clinical improvement.
View Article and Find Full Text PDFConventional curettage adenoidectomy vs endoscopic microdebrider adenoidectomy - A comparative study.
Eur Arch Otorhinolaryngol
December 2024
Dept. of ENT, Bharati Vidyapeeth Medical College & Hospital, Sangli, Maharashtra, India.
Article Synopsis
- Adenoidectomy is a common ENT procedure, and this study compares the effectiveness of endoscopic powered adenoidectomy (EMA) to the traditional curettage approach (CA) to see if EMA could be a better option.
- A total of 240 patients were divided into two groups, with one group undergoing CA and the other EMA, revealing that while EMA took longer and had more blood loss, it resulted in more complete adenoid removals and significantly less post-operative pain.
- The study concluded that EMA is safer and more effective for complete adenoid removal and causes less pain post-surgery compared to conventional methods, although CA has the advantage of being quicker and causing less bleeding during the procedure.
Association of adenoid hypertrophy and clinical parameters with preoperative polygraphy in pediatric patients undergoing adenoidectomy.
Eur Arch Otorhinolaryngol
November 2024
Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Article Synopsis
- Adenotonsillar hypertrophy is a leading cause of obstructive sleep apnea in children, and there is limited understanding of how clinical symptoms relate to the severity of the condition when adenoid size is not measurable.
- The study aimed to evaluate the relationship between patient characteristics, adenoid size, and clinical symptoms with obstructive sleep apnea severity in children scheduled for adenoidectomy.
- An analysis of 81 pediatric patients showed significant correlations between clinical symptom scores, adenoid-choanal ratios, and apnea-hypopnea index scores, indicating that larger adenoid size and worse symptoms are linked to more severe obstructive sleep apnea across different age groups.
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