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Ventilation-tube

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https://www.readbyqxmd.com/read/27875554/incidence-and-determinants-of-ventilation-tubes-in-denmark
#1
Tine Marie Pedersen, Anna-Rosa Cecilie Mora-Jensen, Johannes Waage, Hans Bisgaard, Jakob Stokholm
BACKGROUND AND OBJECTIVES: Many children are treated for recurrent acute otitis media and middle ear effusion with ventilation tubes (VT). The objectives are to describe the incidence of VT in Denmark during 1997-2011 from national register data, furthermore, to analyze the determinants for VT in the Copenhagen Prospective Studies on Asthma in Childhood2010 (COPSAC2010) birth cohort. METHODS: The incidence of VT in all children under 16 years from 1997-2011 were calculated in the Danish national registries...
2016: PloS One
https://www.readbyqxmd.com/read/27860324/tracheobronchial-foreign-body-removal-in-infants-who-had-very-small-airways-a-prospective-clinical-trial
#2
Seung Hoon Woo, Jung Je Park, Minsu Kwon, Jun Sun Ryu, Jin Pyeong Kim
BACKGROUND AND AIMS: Tracheobronchial foreign body aspiration is a life-threatening emergency. Using a rigid bronchoscope with optical forceps is the most effective method for foreign body removal. However, occasionally for some infants these instruments could not be used, as they may be too large for their small airways. Here, they present the apnea technique with only an optical forceps for foreign body removal in infants with very small airways. METHODS: Foreign bodies were removed using only an optical forceps for infants who had very small diameter airways...
November 18, 2016: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/27854381/interventions-for-children-with-ear-discharge-occurring-at-least-two-weeks-following-grommet-ventilation-tube-insertion
#3
REVIEW
Roderick P Venekamp, Faisal Javed, Thijs Ma van Dongen, Angus Waddell, Anne Gm Schilder
BACKGROUND: Ear discharge (otorrhoea) is common in children with grommets (ventilation/tympanostomy tubes); the proportion of children developing discharge ranges from 25% to 75%. The most common treatment strategies include oral broad-spectrum antibiotics, antibiotic eardrops or those containing a combination of antibiotic(s) and a corticosteroid, and initial observation. Important drivers for one strategy over the other are concerns over the side effects of oral antibiotics and the potential ototoxicity of antibiotic eardrops...
November 17, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27845826/withdrawn-interventions-for-ear-discharge-associated-with-grommets-ventilation-tubes
#4
REVIEW
Louise Vaile, Tim Williamson, Angus Waddell, Gordon J Taylor
BACKGROUND: The insertion of grommets (also known as ventilation or tympanostomy tubes) is one of the most common surgical procedures performed on children. Postoperative otorrhoea (discharge) is the most common complication with a reported incidence ranging from 10% to 50%. In the UK, many ENT surgeons treat with topical antibiotics/steroid combinations, but general practitioners, mainly through fears of ototoxicity, are unlikely to prescribe these and choose systemic broad-spectrum antibiotics...
November 15, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27833863/timing-for-removal-of-asymptomatic-long-term-ventilation-tube-in-children
#5
Osama G Abdel-NabyAwad
Otitis media with effusion (OME) is the most frequent illness in children. Surgical treatment options include ventilation tube insertion, adenoidectomy or both. Opinions regarding the risks, benefits and intubation period of ventilation tube insertion vary greatly. To determine the appropriate time for when to remove asymptomatic longterm ventilation T-tubes in children. In this prospective study, we analyzed the results of 120 pediatric patients (6-12 years) (240 ears) with persistent OME; we employed the Goode T-silicone tubes...
December 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27821414/bronchoscopy-and-fogarty-balloon-insertion-of-distal-tracheo-oesophageal-fistula-for-oesophageal-atresia-repair-with-video-illustration
#6
Rico Rinkel, Daan Van Poll, Renate Sibarani-Ponsen, Christien Sleeboom, Roel Bakx
BACKGROUND/PURPOSE: During repair of esophageal atresia with distal tracheo-esophageal fistula, air leakage through the fistula during mechanical ventilation can cause respiratory demise. METHODS: From February 2012 until November 2014, all patients with esophageal atresia and distal tracheo-esophageal fistula were subjected to preoperative tracheobronchoscopy. Relatively distal fistulas were cannulated with a Fogarty catheter and blocked by insufflation (video illustration)...
January 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/27812691/identification-of-the-bacterial-reservoirs-for-the-middle-ear-using-phylogenic-analysis
#7
Chun Ling Chan, David Wabnitz, Ahmed Bassiouni, Peter-John Wormald, Sarah Vreugde, Alkis James Psaltis
Importance: The adenoid pad has long been considered a reservoir for bacteria in the pathogenesis of otitis media with effusion (OME). However, bacteria more reminiscent of external auditory canal (EAC) commensals are often demonstrated within middle ear aspirates. Objective: To compare the microbiota of the EAC, the middle ear with OME, and the adenoid pad to further clarify the true source of middle ear bacteria. Design, Setting, and Participants: Middle ear fluid (MEF) aspirates and EAC lavages were collected from 18 children with OME undergoing ventilation tube insertion from June 1, 2014, to August 31, 2015, at Women and Children's Hospital, Adelaide, Australia...
November 3, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27804916/end-of-life-care-decisions-using-a-korean-advance-directive-among-cancer-patient-caregiver-dyads
#8
Shinmi Kim, Sujin Koh, Kwonoh Park, Jinshil Kim
OBJECTIVE: The Korean advance directive (K-AD) comprises a value statement, treatment directives, preferences for cardiopulmonary resuscitation (CPR), artificial ventilation, tube feeding, and hospice care, as well as a proxy appointment. The K-AD can facilitate a patient's decision making with respect to end-of-life (EoL) care. The present study aimed to examine the extent to which patient-caregiver dyads would use the K-AD and agree on EoL care decisions. METHODS: Using a descriptive study design, 81 cancer patients were invited to participate...
November 2, 2016: Palliative & Supportive Care
https://www.readbyqxmd.com/read/27774923/development-and-validation-of-a-low-cost-microsurgery-ear-trainer-for-low-resource-settings
#9
M P A Clark, B D Westerberg, J E Mitchell
OBJECTIVE: Chronic suppurative otitis media is a neglected condition affecting up to 330 million people worldwide, with the burden of the disease in impoverished countries. The need for non-governmental organisations to hardwire training into their programmes has been highlighted. An ear surgery simulator appropriate for training in resource-poor settings was developed, and its effectiveness in facilitating the acquisition of headlight and microsurgical skills necessary to safely perform procedures via the ear canal was investigated...
October 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27749756/is-it-necessary-to-treat-otitis-media-with-effusion-ome-prior-to-cochlear-implantation-results-over-a-long-term-follow-up
#10
Meirav Sokolov, Ohad Hilly, David Ulanovski, Yotam Shkedy, Joseph Attias, Eyal Raveh
OBJECTIVES: Evaluate the intra- and postoperative effects of untreated otitis media with effusion (OME) in cochlear implant (CI) patients, and to assess the role of ventilation tube (VT) introduction before implantation. STUDY DESIGN: A retrospective chart review. SETTING: Tertiary referral center. PATIENTS: CI patients, aged 10 years or younger, implanted during 2009 to 2013. INTERVENTIONS: Cases were divided into three groups: 1) normal aerated middle ear before CI, 2) OME treated with VT, and 3) untreated OME...
December 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27748206/prognostic-effect-of-pre-and-post-admission-antibiotic-treatment-in-paediatric-acute-mastoiditis
#11
E Carmel, J H Curotta, A T Cheng
OBJECTIVE: To evaluate the effect of pre- and post-admission antibiotic treatment in paediatric acute mastoiditis. DESIGN: Retrospective study. METHOD: Eighty-eight children with acute mastoiditis, from 2003 to 2012, were studied to investigate the effect of antibiotic therapy on short and long-term sequelae. RESULTS: The median period of antibiotic therapy immediately following hospital discharge was 10 days (range, 5-49 days; standard deviation = 7...
October 17, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/27737977/fusobacterium-infections-in-children
#12
Karen Arane, Ran D Goldman
QUESTION: A 2-year-old patient in my practice with acute otitis media that has progressed to mastoiditis with a high fever returns with positive culture results for Fusobacterium What should I do next? ANSWER: Fusobacterium is a genus of anaerobic bacteria. Although Fusobacterium infections are rare, they can become severe if not treated promptly. Appropriate treatment is combination antibiotic therapy consisting of a β-lactam (penicillin, cephalosporin) and an anaerobic antimicrobial agent (metronidazole, clindamycin)...
October 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27729129/increased-il-17-and-22-mrna-expression-in-pediatric-patients-with-otitis-media-with-effusion
#13
Oh Eun Kwon, Sang Hyun Park, Sung Su Kim, Haeng Seon Shim, Min Gyeong Kim, Young Il Kim, Sang Hoon Kim, Seung Geun Yeo
OBJECTIVES: Middle ear effusion has been reported to be associated with immune responses in patients with otitis media with effusion (OME). Although various cytokines are involved in immunologic responses in patients with OME, no study to date has assessed the involvement of the pro-inflammatory cytokines interleukin (IL)-17 and IL-22. This study analyzed the levels of expression of IL-17 and IL-22 in the middle ear effusion of patients with OME. METHODS: Patients aged <11 years who were diagnosed with chronic OME and underwent ventilation tube insertion from May 2013 to August 2015 were enrolled...
November 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27684485/incidence-of-underlying-congenital-cholesteatoma-in-28-patients-with-persistent-unilateral-otitis-media-with-effusion
#14
V V Wilmot, A Sharma
No abstract text is available yet for this article.
September 29, 2016: Clinical Otolaryngology
https://www.readbyqxmd.com/read/27666086/effectiveness-of-kobayashi-plug-for-252-ears-with-chronic-patulous-eustachian-tube
#15
Toshiaki Kikuchi, Ryoukichi Ikeda, Hidetoshi Oshima, Iori Takata, Tetsuaki Kawase, Takeshi Oshima, Yukio Katori, Toshimitsu Kobayashi
CONCLUSIONS: Trans-tympanic plugging of the Eustachian tube (ET) with the silicone plug (Kobayashi Plug) induced long-term effectiveness for over 80% of chronic and severe patulous ET (PET) patients. The New Kobayashi Plug was more effective with fewer complication of plug descent to the pharyngeal orifice. OBJECTIVE: To investigate the effectiveness and complications of trans-tympanic plugging of the ET using a Kobayashi Plug for chronic PET. METHOD: Trans-tympanic plugging of the ET using the Kobayashi Plug was performed for 252 ears of 191 patients...
September 26, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27619050/a-longitudinal-evaluation-of-hearing-and-ventilation-tube-insertion-in-patients-with-primary-ciliary-dyskinesia
#16
Tobias Nicolai Andersen, Mikkel Christian Alanin, Christian von Buchwald, Lars Holme Nielsen
INTRODUCTION: Primary ciliary dyskinesia (PCD) is an autosomal recessive genetic disease, which primarily manifests with oto-sino-pulmonary symptoms. Otitis media with effusion (OME) is common from early childhood. The existing literature on OME management in PCD is conflicting. The goals of the present study were firstly to evaluate the long-term hearing in PCD patients and secondly to determine the influence of ventilation tube (VT) insertion on hearing and postoperative otorrhoea. METHODS: A longitudinal retrospective study extracting the hearing level (pure tone average (0...
October 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27619049/a-randomized-study-of-four-different-types-of-tympanostomy-ventilation-tubes-one-year-follow-up
#17
Anne-Charlotte Hessén Söderman, Johan Knutsson, Claudia Priwin, Magnus von Unge
OBJECTIVE: To compare four different types of tympanostomy ventilation tubes (VT); long-shaft and short-shaft silicone tubes and long-shaft and short-shaft fluoroplastic tubes, regarding time to extrusion and events of otorrhea. METHODS: A prospective randomized controlled trial in children with bilateral recurrent acute otitis media or secretory otitis media; four hundred children were randomized to receive one type of VT in the right ear and another type in the left ear...
October 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27604644/otitis-media
#18
Anne G M Schilder, Tasnee Chonmaitree, Allan W Cripps, Richard M Rosenfeld, Margaretha L Casselbrant, Mark P Haggard, Roderick P Venekamp
Otitis media (OM) or middle ear inflammation is a spectrum of diseases, including acute otitis media (AOM), otitis media with effusion (OME; 'glue ear') and chronic suppurative otitis media (CSOM). OM is among the most common diseases in young children worldwide. Although OM may resolve spontaneously without complications, it can be associated with hearing loss and life-long sequelae. In developing countries, CSOM is a leading cause of hearing loss. OM can be of bacterial or viral origin; during 'colds', viruses can ascend through the Eustachian tube to the middle ear and pave the way for bacterial otopathogens that reside in the nasopharynx...
September 8, 2016: Nature Reviews. Disease Primers
https://www.readbyqxmd.com/read/27550159/parental-hopes-interventions-and-survival-of-neonates-with-trisomy-13-and-trisomy-18
#19
Annie Janvier, Barbara Farlow, Keith J Barrington
Trisomy 13 and 18 are life-limiting conditions for which a palliative approach is frequently recommended. The objective of this study was to examine parental goals/decisions, the length of life of their child and factors associated with survival. Parents of children who lived with trisomy 13 or 18 that were part of English-speaking social networks were invited to participate in a questionnaire study. Participants answered questions about their hopes/goals, decisions regarding neonatal interventions, and the duration of their children's lives...
September 2016: American Journal of Medical Genetics. Part C, Seminars in Medical Genetics
https://www.readbyqxmd.com/read/27497387/the-effect-of-nigella-sativa-oil-on-prevention-of-myringosclerosis-in-a-guinea-pig-model
#20
Numan Kokten, Oguz Kadir Egilmez, A Isin Dogan Ekici, M Tayyar Kalcioglu, Muhammet Tekin, Erdem Yesilada
OBJECTIVES: In this study, our aim was to identify the possible effects of Nigella sativa L. (NS) [blackcumin] seed oil on the prevention of experimentally induced myringosclerosis (MS). MATERIALS AND METHODS: Fourteen Guinea pigs were used and they were divided into three groups. Tympanic membranes (TM) of all animals were perforated and then group I was treated with saline soaked gel foams as a control group, group II was treated with 0.5 ml NS oil soaked gel foams at 0, 24 and 48 h and group III was treated with 5 ml NS oil orally at 0, 24, 48, 72 and 120 h...
September 2016: International Journal of Pediatric Otorhinolaryngology
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