当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY期刊下所有文献 > Effect of drug induced sleep endoscopy on intraoperative decision making in pediatric sleep surgery.

Effect of drug induced sleep endoscopy on intraoperative decision making in pediatric sleep surgery.

Abstract：

OBJECTIVES:To demonstrate the effect of drug induced sleep endoscopy (DISE) on intra-operative decision making during pediatric sleep surgery for obstructive sleep apnea (OSA). METHODS:A retrospective chart review was performed on pediatric (3-17 years) patients with moderate-to-severe OSA (7.2-71.8) who underwent drug induced sleep endoscopy at the time of initial sleep surgery. The characteristics evaluated included age, race, gender, site of obstruction, type of surgical intervention, pre- and post-operative apnea and hypopnea index. Of the 26 patients that were identified, 18 had both a pre- and post-operative polysomnograms result. RESULTS:All patients underwent DISE immediately prior to surgical treatment. The mean pre-operative AHI for the 18 patients with post-operative polysomnogram results was 21.3 (7.2-71.8). The mean post-operative AHI for the 18 patients was 7.6 (0.7-25.1). There was a significant difference between pre- and post-operative AHI (p < 0.001). Of the 26 patients, the most common area of collapse was the soft palate, occurring in 17/26 (65.4%) patients. Base of tongue involvement was found to be present in 11/26 (42.3%) patients, and the epiglottis was involved in 4/26 (15.4%). Evidence of multilevel collapse was observed in 6/26 (23.1%) patients. Patients observed to have palatal collapse underwent a pharyngoplasty (20/26; 76.9%) at the time of adenotonsillectomy. Three (11.5%) patients underwent a tongue reduction. CONCLUSION:This study provides additional evidence that DISE can affect intra-operative decision making, with the potential for improved post-operative outcomes. A randomized controlled study is needed to determine if these outcomes are better than what can be achieved without DISE.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Dmowska J,Larson SR,Gillespie MB,Sheyn A

doi

10.1016/j.ijporl.2019.109810

subject

Has Abstract

pub_date

2020-03-01 00:00:00

pages

109810

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(19)30563-4

journal_volume

130

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY文献大全
  • Enterococcus faecalis and otitis media with effusion. How to treat.

    abstract：:Although microorganisms are cultured in only one out of 3 middle ear effusions, viable and non-viable bacteria are presumed to be responsible in part for otitis media with effusion (OME). Because of this association, antibiotics in sublethal, bacteriostatic, or bacteriocidal concentrations are frequently used as non-s...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/0165-5876(90)90077-5

    authors： Dudley JP,Sercarz J

    更新日期：1990-11-01 00:00:00

  • Anesthesia management in pediatric patients with laryngeal papillomatosis undergoing suspension laryngoscopic surgery and a review of the literature.

    abstract：OBJECTIVE:The excision of laryngeal papillomas poses a great challenge for both the anesthesiologist and the surgeon. The narrowness of the airways and the great variability of the pathological lesions necessitate close collaboration between the surgical and anesthesia teams to provide optimal operating conditions and ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijporl.2011.08.012

    authors： Bo L,Wang B,Shu SY

    更新日期：2011-11-01 00:00:00

  • Topical application of tranexamic acid after adenoidectomy: a double-blind, prospective, randomized, controlled study.

    abstract：OBJECTIVE:Is to evaluate the efficacy of tranexamic acid when applied locally in children after primary isolated adenoidectomy with respect to intra-operative blood loss and post-operative bleeding. STUDY DESIGN:Prospective, double-blind, randomized, controlled trial. SETTING:Otolaryngology department, Tanta Universi...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijporl.2013.04.021

    authors： Albirmawy OA,Saafan ME,Shehata EM,Basuni AS,Eldaba AA

    更新日期：2013-07-01 00:00:00

  • Effects of allergic rhinitis on the progression and recovery of acute otitis media in a mouse model.

    abstract：OBJECTIVES:The objective of this study was to evaluate the effects of allergic rhinitis (AR) on the development, progression, and recovery of acute otitis media (OM) in an animal model and investigate the secondary effects of bacterial infection. METHODS:BALB/c mice were divided into four groups: AR + OM, AR, OM, and ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110497

    authors： Cho CG,Kim HB,Kim CK,Kim BH,Lim YS,Park SW,Park JH

    更新日期：2021-01-01 00:00:00

  • Hot nasal packing with hot saline irrigation for hemostasis after adenoidectomy: A prospective randomized controlled study.

    abstract：OBJECTIVE:This study aimed to investigate the efficacy of hot posterior nasal packing and hot saline irrigation in bleeding control after adenoidectomy. METHODS:A total of 130 patients scheduled for adenoidectomy were included in the study, and randomized into two groups at the beginning of the surgical operation. Aft...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijporl.2019.109792

    authors： Ceylan SM,Dişikırık İ,Kanmaz MA,Yıldırım A,Sezgin E

    更新日期：2020-03-01 00:00:00

  • How does a bilingual environment affect the results in children with cochlear implants compared to monolingual-matched children? An Italian follow-up study.

    abstract：OBJECTIVES:To compare the results after cochlear implantation achieved by monolingual and bilingual deaf children implanted at our Institution, with the aim of understanding if there are any differences between the two groups and if there is a correlation between the outcomes and some patients' variables. METHODS:The ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2017.12.006

    authors： Forli F,Giuntini G,Ciabotti A,Bruschini L,Löfkvist U,Berrettini S

    更新日期：2018-02-01 00:00:00

  • Tuberculous otitis media in children: Series of 4 cases.

    abstract：:Four cases of tuberculous otitis media in children are reported. One case presented with a postaural fistula, another case with signs of meningeal irritation and ear discharge and two cases as chronic otitis media refractory to conventional treatment. All patients underwent modified radical mastoidectomy and the diagn...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110118

    authors： Sebastian SK,Vijayan V,Kumar VB,Garg P

    更新日期：2020-08-01 00:00:00

  • Total facial nerve injury during mandibular distraction osteogenesis.

    abstract：INTRODUCTION:Over the last 10-15 years, usage of internal mandibular distraction systems has increased in the pediatric population, particularly for craniofacial syndromes. Mandibular distraction osteogenesis (MDO) has been shown to be effective in avoiding tracheostomy or achieving early decannulation in patients with...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijporl.2020.110182

    authors： Belcher RH,Phillips JD

    更新日期：2020-09-01 00:00:00

  • A retrospective review of frenotomy in neonates and infants with feeding difficulties.

    abstract：OBJECTIVES:To measure maternal breast feeding benefit after infant frenotomy. To investigate if timing of neonatal/infant frenotomy affects outcome. STUDY DESIGN:Cohort survey and retrospective review. METHODS:Medical records of neonates and infants suspected to have ankyloglossia between April 2006 and February 2011...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2012.05.009

    authors： Steehler MW,Steehler MK,Harley EH

    更新日期：2012-09-01 00:00:00

  • A unique presentation of a pharyngeal auricle.

    abstract：:Congenital lesions typically present in early childhood. Based on their location and presentation, the diagnosis and treatment is usually obvious. Because of the complexities and uniqueness of head and neck embryology, rare congenital lesions develop and this should be of interest to the otolaryngologist. In this repo...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2004.05.012

    authors： Gov-Ari E,Zapanta PE,Malis D,Kumar S

    更新日期：2004-11-01 00:00:00

  • Strategies for restarting Pediatric Otolaryngology outpatient clinics after a pandemic-related shutdown such as from COVID-19.

    abstract：:The novel coronavirus 19 SARS-CoV2 caused a change in the practice of Otolaryngology around the globe. The high viral load in the nasal cavity, nasopharynx and airway subjects Otolaryngologists to a high risk of catching the virus during aerosol generating procedures. After the first outbreak wave has subsided, many t...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110414

    authors： Leitmeyer K,Felton M,Chadha NK

    更新日期：2020-12-01 00:00:00

  • IL-6 promotes the expression of vascular endothelial growth factor through the p38 signalling pathway in hypertrophied adenoids in children.

    abstract：OBJECTIVES:To examine the expression of vascular endothelial growth factor (VEGF) in hypertrophied adenoids in children and investigate the possible regulatory mechanism. METHODS:Thirty-eight children with hypertrophied adenoids (moderate, 16; severe, 22) were enrolled to investigate the VEGF expression in the adenoid...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2012.09.040

    authors： Wang H,Bai J,Zhang J,Yang W,Zuo K,Li H

    更新日期：2013-02-01 00:00:00

  • Objective assessment of endoscopy assisted adenoidectomy.

    abstract：OBJECTIVES:To objectively assess the effectiveness of endoscopy assisted adenoidectomy utilizing adenoid tissue volume measurement and to set some parameters for which patients are more legible to this procedure. METHODS:Forty three patients for whom adenoidectomy was conventionally done using adenoid curettes. Surgeo...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2014.04.031

    authors： Elnashar I,El-Anwar MW,Basha WM,AlShawadfy M

    更新日期：2014-08-01 00:00:00

  • Insurance status as a risk factor for foreign body ingestion or aspiration.

    abstract：OBJECTIVE:To determine whether the lack of private health insurance places children at increased risk for foreign body ingestion or aspiration. DESIGN:Retrospective review. SETTING:St. Louis Children's Hospital, a tertiary care center. PATIENTS:Consecutive sample of 125 patients with esophageal or airway foreign bod...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0165-5876(97)00111-0

    authors： Arjmand EM,Muntz HR,Stratmann SL

    更新日期：1997-10-18 00:00:00

  • Level of psychosocial adaptation in young school children with otitis media.

    abstract：OBJECTIVE:Assessment of the level of psychosocial adaptation in Dutch young school children with persistent and/or recurrent otitis media compared to a U.S. community sample. The goal of this study was to determine the presence of behavioural effects related to a history of hearing loss resulting from recurrent or pers...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2007.08.006

    authors： Timmerman A,Meesters C,Anteunis L,Chenault M

    更新日期：2007-12-01 00:00:00

  • Impact of unilateral congenital aural atresia on academic Performance: A systematic review.

    abstract：BACKGROUND:Little is known about the academic performance of children with unilateral congenital aural atresia (CAA). OBJECTIVE:of review: Our objective was to summarize what is known about the academic performance of children with hearing loss by unilateral congenital aural atresia, in order to provide pragmatic reco...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijporl.2018.09.002

    authors： van Hövell Tot Westerflier CVA,van Heteren JAA,Breugem CC,Smit AL,Stegeman I

    更新日期：2018-11-01 00:00:00

  • Minimally invasive transoral image-guided drainage of a retropharyngeal abscess with mediastinal extension.

    abstract：:Retropharyngeal abscess (RPA) in children is a serious deep neck space infection that rarely is complicated by extension into the mediastinum. RPA with mediastinal abscess requires prompt surgical management, generally via external or transoral approach. We present the case of a 3-year-old boy with RPA with mediastina...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110288

    authors： Stevens C,Ladd P,Ghadersohi S,Gitomer SA

    更新日期：2020-11-01 00:00:00

  • The "Frankentower:" A clinician-driven approach to enhancing endoscopic data technology.

    abstract：OBJECTIVE:To develop a more efficient endoscopy tower and evaluate its capability to improve retrieval and storage of videos across 6 clinical sites. METHODS:Descriptive study that took place at tertiary care Pediatric Otolaryngology Department over a 2 year period. In collaboration with our Information Services Depar...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110486

    authors： Ngombu S,Payne LM,Cecil JM,Grischkan JM

    更新日期：2021-01-01 00:00:00

  • Contrasting strategic approaches to the management of subglottic hemangiomas.

    abstract：:The standards of treatment of subglottic hemangiomas are steroids and laser vaporization. If these methods do not provide a sufficient airway, a tracheotomy may be required. Analysis of the data available in the literature shows that there is a place for other therapeutic solutions. Open surgical excision could be one...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/0165-5876(96)01350-x

    authors： Froehlich P,Seid AB,Morgon A

    更新日期：1996-07-01 00:00:00

  • Endovascular embolization of a hemorrhagic jugular bulb diverticulum.

    abstract：:A jugular bulb diverticulum (JBD) is considered to be a rare venous anomaly. In exceptional cases it extends into the middle ear cavity with no bony covering, and slight oozing to massive bleeding might be encountered during routine middle ear surgical procedures. We report a case of massive bleeding from a dehiscent ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2008.06.007

    authors： Shihada R,Maimon S,Braun J,Fradis M,Luntz M

    更新日期：2008-09-01 00:00:00

  • Efficacy of buffered hypertonic saline nasal irrigation in children with symptomatic allergic rhinitis: a randomized double-blind study.

    abstract：BACKGROUND:Nasal irrigation has been used as an adjunctive therapy of allergic rhinitis (AR). Available evidence suggested that buffered hypertonic saline (BHS) is superior to buffer normal saline (BNS) for relief nasal symptoms. OBJECTIVE:To evaluate the effectiveness of BHS nasal irrigation in the management of chil...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijporl.2012.01.022

    authors： Satdhabudha A,Poachanukoon O

    更新日期：2012-04-01 00:00:00

  • Endoscopic management of congenital meningo-encephalocele with nasal flaps.

    abstract：:The objective of this paper is to present a case of a 2-year-old girl diagnosed with a meningo-encephalocele after episodes of meningitis, and treated with a transnasal endoscopic approach using nasal septal flaps pediculated at the sphenopalatine artery. Endoscopic repair is a viable and minimally invasive alternativ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2008.09.013

    authors： Nogueira JF Jr,Stamm AC,Vellutini E,Santos FP

    更新日期：2009-01-01 00:00:00

  • Otitis media and academic achievements.

    abstract：OBJECTIVE:This is a study of whether there are any long-term differences in academic achievements between children with and without observed or treated middle ear disease in a population with a stable long-standing treatment policy. METHODS:A birth cohort of 2156 children was previously studied through a questionnaire...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0165-5876(00)00431-6

    authors： Augustsson I,Engstand I

    更新日期：2001-01-01 00:00:00

  • An unusual solitary endobronchial pulmonary arteriovenous malformation in a 10 year-old child.

    abstract：:Pulmonary arteriovenous malformations (PAVMs) are relatively rare in children. They may occur both as single isolated anomalies and, much more commonly, as one of many widely distributed arteriovenous malformations (AVMs) in other organs and anatomic locations such as the liver, brain, nose and spine. The latter pheno...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2011.08.008

    authors： Villardo RJ,Rosas-Salazar C,Spahr JE,Dohar JE

    更新日期：2011-11-01 00:00:00

  • Use of sound-elicited fetal heart rate accelerations to assess fetal hearing in the second and third trimester.

    abstract：OBJECTIVES:We previously reported that fetal heart rate (FHR) accelerations could be obtained after fetal sound stimulation. We examined FHR accelerations during 20-37 weeks gestational age (GA) in order to assess the optimal time for the test. METHODS:The fetus was stimulated from the maternal abdomen with pure tone ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110001

    authors： Hibiya-Motegi R,Nakayama M,Matsuoka R,Takeda J,Nojiri S,Itakura A,Koike T,Ikeda K

    更新日期：2020-06-01 00:00:00

  • Laser arytenoidectomy in the management of bilateral vocal cord paralysis in children.

    abstract：OBJECTIVE:To analyse the efficacy of CO(2) laser arytenoidectomy in the management of bilateral vocal cord paralysis in children. METHODS:Retrospective series of 17 patients who underwent laser arytenoidectomy for bilateral vocal cord between 1995 and 2008 in a tertiary care institution. All patients had bilateral lar...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2010.01.019

    authors： Aubry K,Leboulanger N,Harris R,Genty E,Denoyelle F,Garabedian EN

    更新日期：2010-05-01 00:00:00

  • Waldeyer's ring and otitis media: the nasopharyngeal tonsil and otitis media.

    abstract：:This overview of the relationship between the nasopharyngeal tonsil and otitis media will review three important concepts: (1) Adenoid inflammation leads to inflammatory obstruction of the Eustachian tube; (2) early colonization of the adenoid with the three major bacterial pathogens of otitis media is the most import...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/s0165-5876(99)00146-9

    authors： Bernstein JM

    更新日期：1999-10-05 00:00:00

  • Readability analysis of pediatric otolaryngology patient-reported outcome measures.

    abstract：OBJECTIVE:(s): Patient-reported outcome measures (PROMs) are tools that allow patients to directly share information about their health with their healthcare provider. Health literacy experts recommend that health information, such as PROMs, be written at a 6th grade level to ensure patients can read and comprehend it....

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110550

    authors： Dorismond C,Farzal Z,Thompson NJ,Lee SE,Zdanski CJ

    更新日期：2021-01-01 00:00:00

  • Slide tracheoplasty: Predictors of outcomes and literature review.

    abstract：OBJECTIVE:Determine preoperative comorbidities and intraoperative parameters associated with adverse postoperative outcomes. METHODS:Retrospective case series at a single tertiary care children's hospital from 2010 through 2017. RESULTS:Twenty-six patients with median age of 6 months and median weight of 7.1 kg under...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2019.109814

    authors： Wertz A,Fuller SM,Mascio C,Sobol SE,Jacobs IN,Javia L

    更新日期：2020-03-01 00:00:00

  • Inhaled foreign bodies in pediatric patients: review of personal experience.

    abstract：BACKGROUND:Foreign bodies (FBs) are a life-threatening event in children that require early diagnosis and prompt successful management. The ideal means of FB removal is rigid bronchoscopy under general anesthesia, although the choice between spontaneous or controlled breathing and the type of drug used are still subjec...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2007.09.002

    authors： Pinzoni F,Boniotti C,Molinaro SM,Baraldi A,Berlucchi M

    更新日期：2007-12-01 00:00:00