Non-axial osteoarticular tuberculosis in the paediatric age

AbstractTonsillectomy is one of the commonest ENT procedures done in paediatric population, the technique of which has evolved over years to decrease the morbidity associated with the surgery. This prospective randomized comparative study is done to evaluate the efficacy of two different techniques of this surgery, conventional cold dissection and laser tonsillectomy based on operative time, blood loss, post-operative pain and occurrence of secondary complications. The study was done in 68 patients of paediatric age group, 34 in each group underwent cold dissection and laser tonsillectomy. Operative time and bleeding were significantly low for laser group. Pain score was comparable in early post-operatives days, but was high towards the end of first week. Our study reported only one incidence of complication in the form of a secondary bleeding.

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Not Only Mania or Depression: Mixed States/Mixed Features in Paediatric Bipolar Disorders

Brain Sciences ◽

10.3390/brainsci11040434 ◽

2021 ◽

Vol 11 (4) ◽

pp. 434

Author(s):

Delfina Janiri ◽

Eliana Conte ◽

Ilaria De Luca ◽

Maria Velia Simone ◽

Lorenzo Moccia ◽

...

Keyword(s):

Systematic Review ◽

Bipolar Disorders ◽

Prevalence Rates ◽

Mixed States ◽

Total Patient ◽

Hyperactivity Disorder ◽

Mixed Features ◽

Paediatric Age ◽

Meta Analyses ◽

The Relationship

Background: early onset is frequent in Bipolar Disorders (BDs), and it is characterised by the occurrence of mixed states (or mixed features). In this systematic review, we aimed to confirm and extend these observations by providing the prevalence rates of mixed states/features and data on associated clinical, pharmacological and psychopathological features. Methods: following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we searched from inception to 9 February 2021 for all studies investigating mixed states/mixed features in paediatric BD. Data were independently extracted by multiple observers. The prevalence rates of mixed states/features for each study were calculated. Results: eleven studies were included in our review, involving a total patient population of 1365 individuals. Overall, of the patients with paediatric age BD, 55.2% had mixed states/features (95% CI 40.1–70.3). Children with mixed states/features presented with high rates of comorbidities, in particular, with Attention Deficit Hyperactivity Disorder (ADHD). Evidences regarding the psychopathology and treatment response of mixed states/features are currently insufficient. Conclusions: our findings suggested that mixed states/features are extremely frequent in children and adolescents with BD and are characterised by high levels of comorbidity. Future investigations should focus on the relationship between mixed states/features and psychopathological dimensions as well as on the response to pharmacological treatment.

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PO-0923 Varicocele Treatment In Paediatric Age: Report Of Different Techniques

Archives of Disease in Childhood ◽

10.1136/archdischild-2014-307384.1542 ◽

2014 ◽

Vol 99 (Suppl 2) ◽

pp. A551.1-A551

Author(s):

N Zampieri ◽

A Mantovani ◽

G Scirè ◽

S Zambaldo ◽

G Zampieri ◽

...

Keyword(s):

Paediatric Age

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Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v32i2.5673 ◽

2012 ◽

Vol 32 (2) ◽

pp. 142-145 ◽

Cited By ~ 2

Author(s):

B Sigdel ◽

R Nepali

Keyword(s):

Tertiary Care ◽

Age Group ◽

Care Centre ◽

Tertiary Care Centre ◽

Suppurative Otitis Media ◽

Ear Diseases ◽

Paediatric Age ◽

One Year ◽

A Prospective Study ◽

Nose And Throat

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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Prescription of binaural hearing aids in the United Kingdom: a knowledge, attitude and practice (KAP) study

The Journal of Laryngology & Otology ◽

10.1258/0022215021911275 ◽

2002 ◽

Vol 116 (S28) ◽

pp. 2-6 ◽

Cited By ~ 3

Author(s):

Sunil N. Dutt ◽

Ann-Louise McDermott ◽

Richard M. Irving ◽

Ivor Donaldson ◽

Ahmes L. Pahor ◽

...

Keyword(s):

United Kingdom ◽

Hearing Aids ◽

Otitis Media With Effusion ◽

Hearing Aid ◽

Binaural Hearing ◽

Unilateral Deafness ◽

Attitudes And Practices ◽

The United Kingdom ◽

Paediatric Age ◽

Tinnitus Masking

The purpose of this questionnaire study was to evaluate the existing knowledge of binaural hearing and the attitudes and practices of prescribing bilateral hearing aids amongst otolaryngologists in the United Kingdom. Of the 950 questionnaires sent to the current members of the British Association of Otolaryngologists and Head and Neck Surgeons (BAO-HNS), there were 591 respondents (62 per cent). The true response rate with completed questionnaires was 59 per cent. Eighty-one per cent of the respondents were aware of the importance of binaural hearing and had a positive attitude towards binaural fitting. The practice of bilateral hearing aid prescriptions was found to be poor amongst all grades on the NHS (less than 10 per cent of all hearing aid prescriptions). This practice in the private sector was variable, dependent largely on patient preference and affordability. The practice of binaural prescription was higher for patients in the paediatric age group than amongst adults. Two common indications for hearing aid prescriptions for unilateral deafness were otitis media with effusion in children (23 per cent of respondents) and for tinnitus masking in adults (12 per cent of respondents). Many otolaryngologists believed that there was not enough evidence to support bilateral bone-anchored hearing aid implantation and bilateral cochlear implantation. Ninety-four per cent of the respondents believed that binaural hearing was as important as binocular vision.

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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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