Evaluation of the mental foramen position in pediatric patients.

The aim of the present study was to evaluate the location of the mental foramen, using panoramic x-rays from children with ages among ten to 12 years. In a first moment, the radiographs were digitalized and measures were accomplished in the Image Tool 1.27 software, being verified the distance between the mandible border and the mental foramen inferior portion, the total height of the alveolar ridge, and also the distance between the medium portion of the mental foramen and a traced line of the nasal spine previously to a point located in the most inferior portion of the mentus. In children with ages among ten and 11 years, the percentage occurrence of the mental foramen location was in the inferior third of the alveolar ridge and, in the 12 years age group, it was in the medium third. Authors concluded that the position of the mental foramen modifies with the increase of the age, being important the analysis of the precisely location of the mental foramen in Pediatric Dentistry.

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Paranasal Mass in a Healthy Male Toddler

Ear Nose & Throat Journal ◽

10.1177/01455613211007944 ◽

2021 ◽

pp. 014556132110079

Author(s):

Melonie Anne Phillips ◽

Meredith Lind ◽

Gerd McGwire ◽

Diana Rodriguez ◽

Suzanna Logan

Keyword(s):

Differential Diagnosis ◽

Pediatric Patients ◽

Pediatric Population ◽

Age Group ◽

Significant Morbidity ◽

Healthy Male ◽

Neck Tumors ◽

Complete Surgical Resection ◽

Maxilla And Mandible ◽

Benign Mass

Head and neck tumors are rare in pediatric patients but should be kept in the differential when a patient presents with a new swelling or mass. One of these tumors is a myxoma, which is an insidiously growing, benign mass originating from the mesenchyme. They most commonly arise in the myocardium but can also develop in facial structures, particularly in the maxilla and mandible. When arising in facial structures, ocular, respiratory, and digestive systems can be affected based on local invasion. Complete surgical resection is curative but can lead to significant morbidity as well. Here, we present a case of a 15-month-old toddler presenting with a paranasal mass, which was ultimately diagnosed as a maxillary myxoma. This tumor is very rare in the pediatric population, especially in the toddler age-group, reminding clinicians to broaden the differential diagnosis when a patient’s course is atypical.

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An Evaluation of the Effects of Elevated Body Mass Index on Skeletal Age

10.21203/rs.3.rs-888046/v1 ◽

2021 ◽

Author(s):

Michael H. French ◽

Michael S. Kung ◽

W. Nathan Holmes ◽

Hossein Aziz ◽

Evelyn S. Thomas ◽

...

Keyword(s):

Chart Review ◽

Pediatric Patients ◽

Intraclass Correlation ◽

Retrospective Chart Review ◽

Skeletal Age ◽

Chronological Age ◽

Age Group ◽

Obese Children ◽

Significant Difference ◽

Hand Radiographs

Abstract BackgroundMany treatment decisions in children’s Orthopaedics are based on age. This study determined whether a discrepancy between chronological age (CA) and skeletal age (SA) is dependent on BMI and if overweight or obese children would have an advanced SA.Materials and Methods120 children between ages 8-17 with an adequate hand radiograph and a correlating BMI were enrolled by retrospective chart review. Stratification based on age, sex, ethnicity, and BMI percentile was performed. For each age group, 6 males and 6 females were selected with 50% of each group having an elevated BMI. Two blinded physicians independently evaluated hand radiographs and recorded the SA. Statistical analyses evaluated inter-rater reliability and any discrepancy between groups.ResultsThe final statistical analysis included 96 children. The Intraclass Correlation Coefficient for SA determined by the two reviewers was excellent at 0.95. A difference of 13 months was found between CA and SA in the elevated BMI cohort versus the non-elevated BMI cohort, (p<0.001). No significant difference was seen between CA and SA for the non-elevated cohort (p=0.72), while matching for age and sex. ConclusionChronological age and skeletal age are not always equivalent especially in pediatric patients who are overweight or obese.

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Is Orally Administered Pentobarbital a Safe and Effective Alternative to Chloral Hydrate for Pediatric Procedural Sedation?

The Journal of Pediatric Pharmacology and Therapeutics ◽

10.5863/1551-6776-23.6.460 ◽

2018 ◽

Vol 23 (6) ◽

pp. 460-465

Author(s):

Jordan Anderson ◽

Sevilay Dalabih ◽

Esma Birisi ◽

Abdallah Dalabih

Keyword(s):

Chart Review ◽

Chloral Hydrate ◽

Pediatric Patients ◽

Age Groups ◽

Retrospective Chart Review ◽

Final Analysis ◽

Age Group ◽

Imaging Studies ◽

Airway Complications ◽

Adequate Sedation

OBJECTIVES Chloral hydrate had been extensively used for children undergoing sedation for imaging studies, but after the manufacturer discontinued production, pediatric sedation providers explored alternative sedation medications. Those medications needed to be at least as safe and as effective as chloral hydrate. In this study, we examined if pentobarbital is a suitable replacement for chloral hydrate. METHODS Subjects who received pentobarbital were recruited from a prospectively collected database, whereas we used a retrospective chart review to study subjects who received chloral hydrate. Sedation success was defined as the ability to provide adequate sedation using a single medication. We included electively performed sedations for subjects aged 2 months to 3 years who received either pentobarbital or chloral hydrate orally. We excluded subjects stratified as American Academy of Anesthesiologists category III or higher and those who received sedation for electroencephalogram. The data collected captured subject demographics and complications. RESULTS Five hundred thirty-four subjects were included in the final analysis, 368 in the chloral hydrate group and 166 in the pentobarbital group. Subjects who received pentobarbital had a statistically significant higher success rate [136 (82%) vs 238 (65%), p < 0.001], but longer sleeping time (18.1% vs 0%, p < 0.001) in all age groups. Subjects who received chloral hydrate had a higher risk of airway complications in the <1 year of age group (6.5% vs 1.8%, p = 0.03). CONCLUSIONS For pediatric patients younger than 3 years of age undergoing sedation for imaging studies, oral pentobarbital may be at least as effective and as safe as chloral hydrate, making it an acceptable and practical alternative.

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Current treatment of post-tonsillectomy pain: a review

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20213911 ◽

2021 ◽

Vol 7 (10) ◽

pp. 1708

Author(s):

Santosh Kumar Swain

Keyword(s):

Pediatric Patients ◽

Hospital Staff ◽

Current Treatment ◽

Review Article ◽

Age Group ◽

Throat Pain ◽

Pediatric Age Group ◽

Post Operative Pain ◽

Active Research ◽

Pain Analgesics

<p class="abstract">Tonsillectomy is one of the most common surgical procedures performed by an otorhinolaryngologist. This surgery is done more in the pediatric age group. Although tonsillectomy is safe and effective surgery, it is usually associated with significant post-operative pain. Analgesics used for post-tonsillectomy pain is often inadequate. Severe throat pain following tonsillectomy has been documented for decades. Patients or parents/caretakers often worry about such severe pain in the home. The pain following tonsillectomy is usually intense and long-lasting. The severe post-tonsillectomy pain often overstrains the patient, family, and hospital staff. Regular changes in the analgesic armamentarium, particularly in pediatric patients are making the treatment of post-tonsillectomy pain more challenging. Pain following the tonsillectomy period continues to be a highly debated issue and an area of active research. Throat pain in the post-tonsillectomy period can result in significant morbidity among patients. There are different analgesics available; each one has its risk profile and side effects when used for controlling post-tonsillectomy pain. This review article discusses on recent management of post-tonsillectomy pain. This article reviews the epidemiology, pathophysiology, impact of post-tonsillectomy pain, and details of medications used for controlling post-tonsillectomy pain.</p>

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Comparative efficacy of IV phenytoin, IV valproate and IV levetiracetam in childhood seizures

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20192761 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1592

Author(s):

Sheeraz A. Dar ◽

Wasim A. Wani ◽

Mudasir Nazir ◽

Zul Eidain Hussan

Keyword(s):

Pediatric Patients ◽

Seizure Control ◽

Randomized Study ◽

P Value ◽

Age Group ◽

Seizure Recurrence ◽

Comparative Efficacy ◽

Acute Setting ◽

Neurologic Disorder

Background: Seizures are the most common pediatric neurologic disorder, with 4% to 10% of children suffering at least one seizure in the first 16 years of life objectives to compare efficacy of IV phenytoin, IV valproate, and IV levetiracetam in childhood seizures between 2months to 16 years of age.Methods: This prospective, randomized, study was done on pediatric patients in the age group of 2 months to 16 years who present actively convulsing to the emergency department of pediatrics.Results: At 24 hours seizures were controlled in 44 (88%) patients out of 50 patients in phenytoin group, 39 (78%) out of 50 patients in levetiracetam group and 46 (92%) out of 50 patients in valproate group (p-value 0.115). The relative risk of seizure recurrence for levetiracetam and phenytoin groups when compared to valproate was 2.75 and 1.5, respectively.Conclusions: Present study demonstrates that IV levetiracetam and IV valproate were comparable to IV phenytoin in terms of seizure control in acute setting. All the three are safe and efficacious. Time to regain consciousness was less in valproate group and long-term seizure control too was also better.

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Post-tonsillectomy pain management in pediatric patients-a review

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20213336 ◽

2021 ◽

Vol 8 (9) ◽

pp. 1637

Author(s):

Santosh Kumar Swain

Keyword(s):

Pediatric Patients ◽

Hospital Staff ◽

Risk Profile ◽

Review Article ◽

Age Group ◽

Pediatric Age ◽

Clinical Issue ◽

Pediatric Age Group ◽

Post Operative Pain ◽

Active Research

Tonsillectomy is a common surgical procedure performed in the pediatric age group. Although tonsillectomy is a safe surgery, it is associated with significant post-operative pain. Analgesia after tonsillectomy is often inadequate. Severe post-tonsillectomy throat pain has been described for more than a decade. Parents often worry for handling the pain of their children in home. Post-tonsillectomy pain is often considered as a long lasting and intense in nature. Post-tonsillectomy pain in children is an important problem which overstrains the patient, family and hospital staff. Post-tonsillectomy pain in children is an important problem which overstrains the patient, family and hospital staff. Regulatory alteration in the analgesic armamentarium, particularly in pediatric patients are making the treatment of post-tonsillectomy pain more difficult. Post-tonsillectomy pain in pediatric patients continues to be highly debated clinical issue and also an area of active research. Post-tonsillectomy pain can result in significant morbidity among pediatric patients. There are several analgesics available; each one has its own risk profile and unique side effects when used in pediatric age group in post-tonsillectomy period. This review article provides an update on recent management of post-tonsillectomy pain in pediatric patients. This article reviews the epidemiology, pathophysiology, impact of post-tonsillectomy pain in children and details of medications used for controlling post-tonsillectomy pain.

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Tele-Dentistry Rising: The Apps of Pediatric Dentistry: An Up-ToDate Review

Open Access Journal of Dental Sciences ◽

10.23880/oajds-16000308 ◽

2021 ◽

Vol 6 (3) ◽

Author(s):

Karataban PK

Keyword(s):

Dental Care ◽

Healthcare Professionals ◽

Pediatric Patients ◽

Dental Trauma ◽

Dental Pain ◽

Pediatric Dentistry ◽

App Store ◽

Pediatric Dentists ◽

Google Play ◽

Dental Professionals

The pandemic changed the landscape of the accessibility to healthcare in an unexpected way. The instant disconnection with healthcare professionals including dental professionals thrusted tele-medicine and tele-dentistry into the spotlight. In pediatric dentistry, there are applications developed for both patients and dentists. This article aims to provide an overview of pediatric dentistry-related applications available on the Apple App Store and Google Play Store that can be useful for children, families and pediatric dentists. iPhone XS was used to access the Apple App Store, and Samsung Galaxy Note 20 devices was used to access the applications in the Google Play Store. The keywords; pediatric dentistry, teeth, brushing teeth, toothbrush timer, pediatric dental care, dentist games, dental pain, dental trauma were selected and searched in Google Play Store and Apple App Store. In total there were 313 applications related to pediatric dentistry which were classified as “Applications for Pediatric Dentists” and “Applications for Pediatric Patients and Their Families”.

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Radiographic Diagnosis of Sinusitis

PEDIATRICS ◽

10.1542/peds.52.6.889b ◽

1973 ◽

Vol 52 (6) ◽

pp. 889-890

Author(s):

Robert S. Thompson

Keyword(s):

Infants And Children ◽

X Rays ◽

Age Group ◽

Normal Children ◽

Sinus Disease ◽

Radiographic Diagnosis ◽

Radiographic Changes ◽

In Infants And Children

The article by Kogutt and Swischuk(Pediatrics, 52:121, 1973), purporting to show the utility of sinus x-rays in the diagnosis of sinusitis in infants and children does no such thing. Rather, I believe it demonstrates that uncontrolled trials often give misleading results. This conclusion is demonstrated by perusal of the work of Maresh and Washburn1 who did serial sinus films on 100 normal children from birth to adolescence. These authors showed that radiographic changes often considered to be diagnostic of sinus disease are found in nearly 60% of normal children in the birth to 1-year age group, 33% of those aged 5 to 6 years, and 14% of those 11 to 12 years old.

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Evaluation of zygomatic bone region for placement of quad zygomatic implants using CBCT in postmenopausal women

IP International Journal of Maxillofacial Imaging ◽

10.18231/j.ijmi.2021.010 ◽

2021 ◽

Vol 7 (2) ◽

pp. 48-53

Author(s):

Neelam Manoj Vaibhav ◽

Ramesh Amirisetty ◽

Rajesh Nichenametla ◽

Gonabhavi Siri Chandana ◽

Santhi Prathyusha M ◽

...

Keyword(s):

Bone Resorption ◽

Bone Mass ◽

Postmenopausal Women ◽

Bone Volume ◽

Primary Osteoporosis ◽

Alveolar Ridge ◽

Age Group ◽

Zygomatic Bone ◽

Zygomatic Implants ◽

Bone To Implant Contact

Insufficient height and width of the alveolar ridge at the implant site remains with inadequate bone volume following extraction in older age people especially in postmenopausal women. Postmenopausal women are susceptible to primary osteoporosis where more bone resorption than formation is seen resulting in decreased bone mass. Hence the present study aims to evaluate the zygomatic bone region for placement of quad zygomatic implants using CBCT.: A total of 120 CBCT images of female patients who were between the age group of 45 yrs to 65 yrs were taken. The zygomatic bone was evaluated for pneumatisation zones and thickness of zygomatic bone at three different regions i.e., superior, middle and inferior at nine points on zygoma bone along with bone to implant contact (BIC) region using virtual software. The largest thickness in the superior, middle and inferior regions were at Point A2(8.01+/-2.10 mm), Point B2 (7.01+/-1.62 mm), and Point C1 (6.65+/-1.64 mm), respectively. The virtually placed implants at Point A3 (15.92+/-4.16 mm) and Point B2 (12.02+/-3.62 mm) had the highest BICs. : To obtain the largest BICs, results suggested that the posterosuperior region (Point A3) and the centre of zygoma (Point B1) were the optimal places for the placement of quad zygomatic implants.

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