The objective of the present study was to investigate the effect of transoral endoscopic adenoidectomy on peripheral blood T lymphocyte subsets in pediatric patients with obstructive sleep apnea-hypopnea syndrome (OSAHS) and its treatment strategy. Ninety-eight pediatric patients with adenoidal hypertrophy associated with OSAHS admitted to the Department of Otolaryngology, Xuzhou Children's Hos...

OBJECTIVE To analyze the outcome of transnasal endoscopic repair of choanal atresia (CA) in children without prolonged nasal stenting after surgery. DESIGN Retrospective study. SETTING Academic tertiary care children's hospital. PATIENTS Forty children aged 3 days to 15 years (mean age, 41 months) who presented with unilateral (n = 26) or bilateral (n = 14) CA and underwent surgery betwee...

OBJECTIVE To analyze possible etiological factors of spontaneous cerebrospinal fluid (CSF) rhinorrhea and to assess the outcomes of endonasal endoscopic repair. DESIGN Retrospective study. SETTING Academic neurosurgical hospital. Patients Twenty-one consecutive patients who presented with spontaneous CSF leak and underwent endonasal endoscopic surgery from January 1999 through December 2001...

OBJECTIVE To describe the initial pediatric experience with intralesional bevacizumab (Avastin) treatment for children with severe, recurrent respiratory papilloma (RRP). DESIGN Retrospective medical chart review. SETTING Tertiary care multidisciplinary aerodigestive center. PATIENTS Three children, aged 3 to 6 years, with severe RRP requiring more than 4 operative interventions in 1 year...

OBJECTIVE To analyze the different factors affecting the outcome of transnasal endoscopic repair of choanal atresia (CA) in children. DESIGN Retrospective study. SETTING Academic tertiary care children's hospital. PATIENTS Eighty patients (48 girls and 32 boys) aged 3 days to 17 years (mean age, 3 years 8 months) who presented with unilateral (n = 53: 37 right, 16 left) or bilateral (n = ...

Aim of our study is to compare the efficacy and safety of coblation adenoidectomy versus conventional cold steel adenoidectomy. The study design included 40 children between age groups 4 – 8. Twenty of these children underwent coblation adenoidectomy while the other group of 20 underwent conventional cold steel adenoidectomy. The parameters taken into consideration for comparison included Post ...

Some surgical innovations are no-brainers. No randomized clinical trial was needed when Ann Miller awoke from her puerperal sepsis after an ‘‘off-label’’ injection of penicillin. The Institutional Review Board did not complain when Harvey Cushing, after a bloody initial foray, successfully resected a hypervascular parietal tumor using William T. Bovie’s new electrodesiccator. When Reuben Setlif...

Paediatric bronchoscopy entails two endoscopic techniques: flexible and rigid bronchoscopy. Flexible bronchoscopy is mainly performed by pulmonologists, whereas rigid bronchoscopy is a more invasive procedure usually carried out by otorhinolaryngologists. Each method has advantages and drawbacks. The selection of flexible or rigid bronchoscopy depends on the indication, the clinical context and...

Background: The inferior turbinate, as part of the nasal valve area, plays a key role in directing the airflow and moisturizing and heating the inspired air. Excessive resection of the inferior turbinate leads to a significant reduction in heating and humidification of inhaled air. Different types of turbinate surgery are described in the current literature. Pyriform Turbinoplasty is a new endo...