Craniovertebral Junction Instability: Special Reference to Paediatric Age Group

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

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Should pulmonary radiographs be taken routinely following paediatric tracheostomy?

Asian Cardiovascular and Thoracic Annals ◽

10.1177/02184923211006312 ◽

2021 ◽

pp. 021849232110063

Author(s):

Nazik Yener ◽

Muhammed Üdürgücü ◽

Fatma Alaçam ◽

Muhammed Şükrü Paksu ◽

İrem Sarı ◽

...

Keyword(s):

High Risk ◽

Tracheostomy Tube ◽

Risk Groups ◽

Age Group ◽

Paediatric Radiology ◽

Surgical Tracheostomy ◽

Emergency Tracheostomy ◽

New Findings ◽

Paediatric Age ◽

Study Support

Aim As the rates of complications related to tracheostomy procedures have fallen in recent years, the routine taking of pulmonary radiographs following tracheostomy has become a matter of debate. The aim of this study was to compare the incidence of complications developing in 120 children who had pulmonary radiographs taken following surgical tracheostomy and to thereby evaluate the necessity of routine pulmonary radiographs after tracheostomy. Methods The data were retrospectively reviewed of 120 children who had pulmonary radiographs taken following surgical tracheostomy between January 2012 and January 2018. The pulmonary radiographs taken before and immediately after tracheostomy were evaluated independently by two paediatric radiology specialists and the results were recorded. Results The incidence of complications after tracheostomy was determined as 23.3%, and no pneumothorax was determined in any patient. An increase was not seen in the complication incidence in those who had undergone emergency tracheostomy and patients aged < 2 years, which are accepted as high-risk groups. In the evaluation of the pre- and post-tracheostomy radiographs, new findings were determined on the post-tracheostomy radiograph that had not been there previously in eight patients (6.6%). These findings were newly formed infiltration in seven patients (5.8%), and malposition of the tracheostomy tube in one patient (0.8%). No pathology requiring intervention was determined on the radiographs of any patient. Conclusion The results of this study support the view that it is not necessary to take pulmonary radiographs routinely following tracheostomy in the paediatric age group, including those at higher risk.

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Benefits of extracorporeal membrane oxygenation for major blunt tracheobronchial trauma in the paediatric age group

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezs607 ◽

2012 ◽

Vol 43 (4) ◽

pp. 864-865 ◽

Cited By ~ 20

Author(s):

Quentin Ballouhey ◽

Rose Fesseau ◽

Vincent Benouaich ◽

Bertrand Léobon

Keyword(s):

Extracorporeal Membrane Oxygenation ◽

Age Group ◽

Membrane Oxygenation ◽

Paediatric Age

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Lymphangioleiomyomatosis (LAM) presenting as recurrent pneumothorax in an infant with tuberous sclerosis: treated successfully with sirolimus

BMJ Case Reports ◽

10.1136/bcr-2018-226244 ◽

2018 ◽

pp. bcr-2018-226244

Author(s):

Lalit Takia ◽

Kana Ram Jat ◽

Anirban Mandal ◽

Sushil Kumar Kabra

Keyword(s):

Tuberous Sclerosis ◽

Tuberous Sclerosis Complex ◽

Right Atrial ◽

Age Group ◽

Bilateral Pneumothorax ◽

General Physical Examination ◽

Paediatric Age ◽

Cortical Tubers ◽

General Physical ◽

Multiple Cysts

Lymphangioleiomyomatosis (LAM) either sporadic or a part of tuberous sclerosis complex is rare in paediatric age group. Here, we report a case of LAM with tuberous sclerosis in an infant. She was referred to our institute at the age of 4 months as a case of recurrent bilateral pneumothorax requiring intercostal tube drainage. Detailed history revealed that patient was symptomatic since 1 month of age in the form of seizures. She had respiratory symptoms for last 15 days. General physical examination revealed whitish macular patches. Brain imaging was suggestive of cortical tubers and subependymal nodules. The echocardiography showed right atrial rhabdomyoma. Chest CT revealed multiple cysts suggesting LAM. On the basis of above findings, a diagnosis of tuberous sclerosis complex with LAM was made. The infant was started on sirolimus and there was significant clinical and radiological improvement over a period of 2 and half years without any side effects.

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