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Showing papers in "International Journal of Pediatric Otorhinolaryngology in 2006"


Journal ArticleDOI
TL;DR: Chronic suppurative otitis media remains one of the most common childhood chronic infectious diseases worldwide and there is no consensus as to what the optimal management strategy should entail, but no convincing evidence is available for most medical and surgical therapies.

296 citations


Journal ArticleDOI
TL;DR: The pathogenesis of Robin sequence is multifactorial and syndromic in nearly half of the patients, and co-morbid factors such as baseline cardiopulmonary and neurologic status did not play a significant role in surgical decision making.

225 citations


Journal ArticleDOI
TL;DR: There is compelling evidence that sleep-disordered breathing in children is associated with behavioral and neurocognitive problems and leads to reduced quality-of-life and adenotonsillectomy isassociated with improvements in behavior, neurocognition and quality of life in these children.

145 citations


Journal ArticleDOI
TL;DR: For children, obesity at the time of diagnosis is a major risk for persisting OSA after treatment, regardless of the severity of initial disease.

140 citations


Journal ArticleDOI
TL;DR: Children with small medial SPOA without significant ocular signs may be managed medically with favorable outcomes, and in contrast to prior series, older children with SPOA were managed successfully with medical therapy.

132 citations


Journal ArticleDOI
TL;DR: Nasal mometasone furoate monohydrate treatment can significantly reduce adenoid hypertrophy and eliminate obstructive symptoms and is a useful alternative to surgery, at least in the short term, for otitis media with effusion.

125 citations


Journal ArticleDOI
TL;DR: In this article, the authors present a brief overview of growth failure for the Otolaryngologists and review the published findings that examine the interrelationship among sleep disordered breathing, growth failure, and adentonsillar hypertrophy in children.

120 citations


Journal ArticleDOI
TL;DR: Comparative micro-anatomic investigation of adenoid mucosa using scanning electron microscopy from children with chronic rhinosinusitis and those with obstructive sleep apnea infected with biofilms finds biofilm in the nasopharynx of children with CRS may act as a chronic reservoir for bacterial pathogens resistant to standard antibiotics.

115 citations


Journal ArticleDOI
TL;DR: The combination of absent AEP and positive TEOAE should lead to a genetic screening for mutations in OTOF, in order to undertake the appropriate management of profound deafness in the absence of a context of neurological syndrome.

113 citations


Journal ArticleDOI
TL;DR: This study shows that AN/AS is a common finding in the population of hearing impaired infants, and clinicians and other health care professionals should generally be sensitised forAN/AS in infants, so that an appropriate treatment can promptly be initiated.

106 citations


Journal ArticleDOI
TL;DR: A functional diagnostic and management algorithm that includes MBS, FEES, suspension laryngoscopy with bimanual interarytenoid palpation, and a trial of conservative therapy is proposed, as a way to diagnose and manage type 1 laryngeal cleft prior to consideration of surgical repair.

Journal ArticleDOI
TL;DR: Immunization clinics indicate promise as infant hearing screening platforms, but identification of only bilateral hearing losses may be warranted initially to keep referral rates acceptably low.

Journal ArticleDOI
TL;DR: Evaluation of vertigo in childhood should begin with a thorough neuro-otologic evaluation and include other relevant multidisciplinary team members as needed to avoid unnecessary effort and cost.

Journal ArticleDOI
TL;DR: Diagnostic subgroups based on the presence of additional anomalies help families and physicians in understanding the severity and duration of feeding and airway difficulty in PRS.

Journal ArticleDOI
TL;DR: Evaluating how HRQL in children with cochlear implants has been measured in published studies found studies that used well-validated, generic HRQL instruments supported conclusions that were less subject to potential bias from the perspective of the clinician investigator.

Journal ArticleDOI
TL;DR: The results imply that the gaze instability due to vestibular hypofunction affects reading ability in young children.

Journal ArticleDOI
TL;DR: It is concluded that rapid maxillary expansion may lessen the nasal resistance and may improve nasal respiration, but cannot be indicated for this purpose by itself.

Journal ArticleDOI
TL;DR: Automatic speech recognition may serve as a good means to objectify and quantify global speech outcome of children with cleft lip and palate.

Journal ArticleDOI
TL;DR: The value of routinely assessing the general development of young paediatric cochlear implant candidates, as part of the pre-implant decision-making process, is indicated.

Journal ArticleDOI
TL;DR: The otolaryngological, phoniatric and logopedic diagnostics and therapy is significantly widened with nasometry which is a quick, non-invasive and objective procedure, measuring the nasal resonance of the speech.

Journal ArticleDOI
TL;DR: The experience with ENT foreign bodies in Melanesian children is described and a high index of suspicion has to be maintained by pediatric otolaryngologist for early diagnosis.

Journal ArticleDOI
TL;DR: Preoperative dexamethasone use significantly reduces early posttonsillectomy pain, improves oral intake and facilitates meeting the discharge criteria while using standard anesthesia technique and sharp dissection tonsillectom without any significant side effects.

Journal ArticleDOI
TL;DR: The population studied presented a long delay in FB removal, thus demanding actions enhancing parent, physician and health services awareness, aiming at an earlier referral for diagnostic and therapeutic bronchoscopy.

Journal ArticleDOI
TL;DR: The majority of infants who can be successfully extubated after PDA ligation tend to be asymptomatic despite vocal cord paralysis, and patients generally have no *long-term problems with the airway or feeding.

Journal ArticleDOI
TL;DR: Clinical charts of 45 paediatric patients treated for acute otomastoiditis at the ORL Department of the University of Brescia (Italy) between January 1994 and March 2005 are reviewed to discuss the diagnostic workup and the outcome of treatment.

Journal ArticleDOI
TL;DR: Evolving indication has been ventilator dependence and upper airway obstruction as an indication has diminished in frequency, especially with the concomitant progress of endoscopic techniques.

Journal ArticleDOI
TL;DR: Adenotonsillectomy has a favorable therapeutic effect on enuresis in children with obstructive sleep apnea presenting this symptom.

Journal ArticleDOI
TL;DR: The findings suggest that RRP runs a more aggressive clinical course when HPV-11 infection is present, and the routine application of molecular techniques such as PCR for detection and analysis of HPVs in patients with RRP has diagnostic and prognostic significance.

Journal ArticleDOI
TL;DR: PCNA, VEGF and TGF-beta may play a role in the pathogenesis of JNA by promoting angiogenesis and proliferation, but this role did not seem to have a relation with hormonal markers.

Journal ArticleDOI
TL;DR: There is a high probability of developing intracranial complications in children who present with acute frontal sinusitis to a tertiary care hospital and all involved specialists should insist on detailed radiological evaluation in this group, to halt preventable mortality and morbidity.