当前位置： SCI文献检索 > INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY期刊下所有文献 > Combined trans-stomal endotracheal approach to peri-stomal tracheal pathologies in children.

Combined trans-stomal endotracheal approach to peri-stomal tracheal pathologies in children.

Abstract：

IMPORTANCE:Peristomal pathologies in tracheostomized children are common and often difficult to treat. They may preclude decannulation even after the initial pathology that required tracheostomy had been resolved. OBJECTIVE:We evaluated the safety and effectiveness of combined direct laryngoscopy and trans-stomal endotracheal surgery in the treatment of pediatric peristomal pathologies. METHODS:The medical records of all children and adolescents with tracheostomies who were surgically treated for peristomal pathologies by a combined endotracheal and trans-stomal approach between January 2006 and August 2018 were retrospectively reviewed. Pathologies included stenosis, tracheomalacia, granulation tissue, and a combination of pathologies. Patient demographics and clinical details were retrieved. The primary outcome measure was successful decannulation. Secondary outcome measures were intra- and postoperative complications and number of procedures performed. RESULTS:In total, 105 subjects aged 6 months to 17 years who underwent combined direct laryngoscopy and trans-stomal surgery were included. Fifty-two (49.5%) of them were successfully decannulated. The specific decannulation rates were 30.3%, 56%, and 59.6% for tracheal stenosis (TS), suprastomal granulation tissue (SSGT), and both, respectively. Trans-stomal microdebrider resection resulted in decannulation rates of 66.7% for TS and 88.8% for SSGT. Intra- and postoperative complications occurred in 4 (12.1%), 1 (4%), and 9 (20.45%) patients with TS, SSGT, and both, respectively. Older age at the time of first operation (p = .03) and tracheal stenosis (p = .02) were significantly associated with decannulation failure. CONCLUSION:Combined direct laryngoscopy and trans-stomal endotracheal surgery can enable decannulation in almost 50% of children with peristomal pathologies, thus obviating open surgery. Multiple procedures may be required, depending upon the type and severity of the pathology. Complications are more common with multiple pathologies.

journal_name

Int J Pediatr Otorhinolaryngol

journal_title

International journal of pediatric otorhinolaryngology

authors

Alon R,Oren A,Wasserzug O,Fishman G,Fliss DM,Eckstein M,DeRowe A

doi

10.1016/j.ijporl.2020.110210

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

110210

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(20)30353-0

journal_volume

137

pub_type

杂志文章

相关文献

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY文献大全
  • Percutaneous sclerotherapy of juvenile nasopharyngeal angiofibroma using fibrin glue combined with OK-432 and bleomycin.

    abstract：:The purpose of this study was to determine the appropriate conditions for percutaneous sclerotherapy of juvenile nasopharyngeal angiofibroma using fibrin glue combined with OK-432 and bleomycin. Three patients with juvenile nasopharyngeal angiofibroma were treated with an injection of fibrin glue combined with OK-432 ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2010.02.002

    authors： Chen WL,Huang ZQ,Li JS,Chai Q,Zhang DM

    更新日期：2010-04-01 00:00:00

  • The external rhinoplasty approach for congenital nasal lesions in children.

    abstract：OBJECTIVE:Congenital lesions of the nose can be challenging to excise. While some lesions carry infection risks, in most cases surgery is primarily performed for cosmesis. Some lesions may extend up to the skull base and this can occasionally be missed on MRI scans. Surgical access has to allow complete excision in all...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2010.11.025

    authors： Locke R,Kubba H

    更新日期：2011-03-01 00:00:00

  • Nasal pain disrupting sleep as a presenting symptom of extraesophageal acid reflux in children.

    abstract：:A constellation of otolaryngologic signs and symptoms has been suggested to identify the association between extraesophageal reflux disease (EERD) and pediatric otolaryngologic disorders. We describe chronic nasal pain as a manifestation of laryngopharyngeal acid reflux in a 4-year-old boy who presented with frequent ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2005.03.021

    authors： Ulualp S,Brodsky L

    更新日期：2005-11-01 00:00:00

  • Determination of optimum dosage of intraoperative single dose dexamethasone in pediatric tonsillectomy and adenotonsillectomy.

    abstract：OBJECTIVE:Our objective is to determine the optimum dosage of intraoperative single dose dexamethasone and its effect upon postoperative morbidity in pediatric tonsillectomy and adenotonsillectomy patients. STUDY DESIGN AND METHODS:Totally 150 pediatric patients whom underwent adenotonsillectomy or tonsillectomy surge...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijporl.2009.06.001

    authors： Karaman M,Ilhan AE,Dereci G,Tek A

    更新日期：2009-11-01 00:00:00

  • A Novel mutation in the SLC26A4 gene in a Chinese family with Pendred syndrome.

    abstract：OBJECTIVE:To investigate the mutations in the SLC26A4 gene in a Chinese patient with Pendred syndrome. METHODS:The diagnosis of Pendred syndrome was confirmed by the family history, pure tone audiogram, perchlorate discharge test (PDT), and computed tomography (CT) of the temporal bone. DNA extraction, PCR and DNA seq...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2013.06.017

    authors： Huang CJ,Lei TH,Chang WL,Tu TY,Shiao AS,Chiu CY,Jap TS

    更新日期：2013-09-01 00:00:00

  • Preliminary outcomes of cholesteatoma screening in children using non-echo-planar diffusion-weighted magnetic resonance imaging.

    abstract：OBJECTIVE:Diffusion-weighted (DW) MRI imaging is evolving into an alternative to second look surgery in detection of cholesteatoma recurrence. Insights into the DW MRI appearances of postoperative or inflammatory mucosal changes have recently described using non-echo-planar, turbo spin-echo (TSE) DW MRI which reliably ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2009.12.011

    authors： Rajan GP,Ambett R,Wun L,Dhepnorrarat RC,Kuthubutheen J,Chow Z,Wood B

    更新日期：2010-03-01 00:00:00

  • Gene expression profiles of early pneumococcal otitis media in the rat.

    abstract：OBJECTIVE:To define the gene expression patterns during the early phases of a bacterial middle ear infection in the rat model. METHOD:Using cDNA gene array technology, we profiled the mRNA expression of 1176 genes in a rat model of acute otitis media. We identified changes in gene expression two-fold or greater 12 and...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2005.03.033

    authors： Chen A,Li HS,Hebda PA,Zeevi A,Swarts JD

    更新日期：2005-10-01 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

  • The effectiveness of nurse-led outpatient referral triage decision making in pediatric otolaryngology.

    abstract：OBJECTIVES:To assess the effectiveness of nurse-led triage of outpatient referrals in an academic pediatric otolaryngology practice. METHODS:Three hundred consecutive outpatient referrals were reviewed and triaged by two otolaryngology registered nurses and two attending pediatric otolaryngologists. The nurses receive...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2015.01.031

    authors： Hong P,Ritchie K,Beaton-Campbell C,Cavanagh L,Belyea J,Corsten G

    更新日期：2015-04-01 00:00:00

  • The role of C.T. scans in managing the orbital complications of ethmoiditis.

    abstract：:Thirty-three cases of ethmoidities with orbital complications were reviewed to determine the accuracy of clinical diagnosis and the benefit of CT scans in planning treatment. Patients were classified according to the Schramm et al. 1982 criteria of orbital involvement with ethmoiditis: periorbital cellulitis with chem...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/0165-5876(88)90062-6

    authors： Gutowski WM,Mulbury PE,Hengerer AS,Kido DK

    更新日期：1988-05-01 00:00:00

  • Hemangioendothelioma of the temporal bone in a child.

    abstract：:Hemangioendothelioma is a vascular tumor of endothelial cell origin. It may involve bone or soft tissues and can behave like a benign or a malignant tumor. In the literature there are several case reports on the involvement of the head and neck region, but only three cases of temporal bone involvement, all of them in ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0165-5876(96)01480-2

    authors： Eliashar R,Saah D,Osin P,Sichel JY

    更新日期：1997-05-04 00:00:00

  • Acquired bilateral adductor laryngeal paralysis in neonates and children: a case series and a systematic review.

    abstract：OBJECTIVES:To present a series of acquired bilateral adductor laryngeal paralysis (BAdLP) and review the literature on clinical manifestations and management. METHODS:A retrospective review of a single tertiary care practice of pediatric otolaryngology was conducted. Patients were identified from a surgical database s...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/j.ijporl.2014.08.012

    authors： Bathini L,Jomah M,Krajacic A,Jeffery C,Campbell S,El-Hakim H

    更新日期：2014-11-01 00:00:00

  • Comparison of a screening test and screening checklist for auditory processing disorders.

    abstract：OBJECTIVE:This study was carried out to determine the relationship between two screening tools to detect auditory processing disorders (APDs). The two screening tools were the screening checklist for auditory processing (SCAP) and screening test for auditory processing (STAP). METHOD:Four hundred school-going children...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.ijporl.2013.03.028

    authors： Yathiraj A,Maggu AR

    更新日期：2013-06-01 00:00:00

  • Prevalence of obstructive sleep apnea in children with laryngomalacia and value of polysomnography in treatment decisions.

    abstract：OBJECTIVES:Children with laryngomalacia may present with obstructive sleep apnea (OSA). The role of polysomnography (PSG) in treatment decision making for laryngomalacia is not well defined. We aimed to investigate the prevalence of OSA in children with laryngomalacia and the role of PSG in treatment decision. METHODS...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110255

    authors： Verkest V,Verhulst S,Van Hoorenbeeck K,Vanderveken O,Saldien V,Boudewyns A

    更新日期：2020-10-01 00:00:00

  • Tracheal agenesis: diagnosis and management.

    abstract：:Tracheal agenesis (TA) is a rare congenital anomaly that typically has fatal consequences. Its rarity, lack of prenatal symptoms, and emergent presentation usually lead to a failure to arrive at the correct diagnosis and manage the airway properly before the onset of irreversible cerebral anoxia. We report the case hi...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/s0165-5876(01)00450-5

    authors： Hill SA,Milam M,Manaligod JM

    更新日期：2001-05-31 00:00:00

  • Prevalence of signs and symptoms of temporomandibular dysfunction in female adolescent athletes and non-athletes.

    abstract：OBJECTIVES:To compare the prevalence of signs and symptoms of temporomandibular dysfunction (TMD) in female adolescent athletes and non-athletes and to examine the association between signs and symptoms of TMD in female adolescents in different Tanner stages. METHODS:The subjects were 89 female basketball and handball...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2012.12.024

    authors： Weiler RM,Santos FM,Kulic MA,De Souza Lima MP,Pardini SR,Mori M,de Souza Vitalle MS

    更新日期：2013-04-01 00:00:00

  • Management of epistaxis in children.

    abstract：:A randomised clinical trial of antiseptic nasal carrier cream (Naseptin) and silver nitrate cautery in the treatment of epistaxis in children was carried out. Fifty-four percent responded to cautery with silver nitrate and 50% to treatment with Naseptin antiseptic carrier cream. There were 24 patients in each group. N...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/0165-5876(91)90144-z

    authors： Ruddy J,Proops DW,Pearman K,Ruddy H

    更新日期：1991-04-01 00:00:00

  • Chondroid hamartoma presenting as a neonatal nasal mass.

    abstract：:We present a case of a 3-month-old female with a right nasal mass. Upon evaluation with computed tomography, magnetic resonance imaging and angiography, a large right intranasal mass extending through the cribiform plate, displacing the dura, was noted. The patient underwent a combined midfacial degloving and bifronta...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,评审

    doi：10.1016/s0165-5876(98)00121-9

    authors： Kim DW,Low W,Billman G,Wickersham J,Kearns D

    更新日期：1999-03-15 00:00:00

  • Evaluating diagnostic yield of computed tomography (CT) and magnetic resonance imaging (MRI) in pediatric unilateral sensorineural hearing loss.

    abstract：INTRODUCTION:Options for imaging for evaluation of pediatric patients with unilateral sensorineural hearing loss (USNHL) include computed tomography (CT) and magnetic resonance imaging (MRI). Although both CT and MR imaging provide valuable information in the evaluation of pediatric patients with USNHL, debate remains ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.ijporl.2018.09.003

    authors： Shah J,Pham GN,Zhang J,Pakanati K,Raol N,Ongkasuwan J,Hopkins B,Anne S

    更新日期：2018-12-01 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

  • A novel mutation in the SLC26A4 gene in a Chinese family with non-syndromic hearing loss and enlarged vestibular aqueduct.

    abstract：OBJECTIVES:To identity the genetic causes of hearing loss in a Han Chinese family with enlarged vestibular aqueduct syndrome. METHODS:Multiplex PCR technology combined with Ion Torrent™ next-generation sequencing technology was used to search for pathogenic mutations. A group of 1500 ethnically-matched normal hearing ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2018.01.037

    authors： Liang Y,Peng Q,Wang K,Zhu P,Wu C,Rao C,Chang J,Li S,Lu X

    更新日期：2018-04-01 00:00:00

  • HRCT and MRI findings in X-linked non-syndromic deafness patients with a POU3F4 mutation.

    abstract：OBJECTIVE:The aim of this study was to analyze HRCT and MRI findings in patients with X-linked non-syndromic deafness and a POU3f4 mutation. METHODS:HRCT and MRI data of four patients (males, 2-19 years old) with a POU3f4 mutation were collected and a retrospective review was performed. Cochlea, internal auditory cana...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2014.08.013

    authors： Gong WX,Gong RZ,Zhao B

    更新日期：2014-10-01 00:00:00

  • Sensory processing disorders in children with hearing impairment: Implications for multidisciplinary approach and early intervention.

    abstract：OBJECTIVE:To explore the differences in sensory processing between children with hearing impairments and children with normal hearing and the variables that influence sensory processing disorder (SPD). METHODS:The sensory processing abilities of 90 children were compared in three age-matched groups of 30, with cochlea...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.110154

    authors： Alkhamra RA,Abu-Dahab SMN

    更新日期：2020-09-01 00:00:00

  • Prevalence of IVS1+1G>A mutation among Iranian Azeri Turkish patients with autosomal recessive non-syndromic hearing loss (ARNSHL).

    abstract：OBJECTIVE:Mutations in the GJB2 gene has been reported as a main cause for autosomal recessive non-syndromic hearing loss (ARNSHL) all over the world. IVS1+1G>A which is splice site mutation have been detected in several populations as disruptive mutation. This study has intended to assess the significance of this muta...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2011.09.024

    authors： Bonyadi M,Fotouhi N,Esmaeili M

    更新日期：2011-12-01 00:00:00

  • Computed tomography supports histopathologic evidence of vestibulocochlear sexual dimorphism.

    abstract：OBJECTIVE:To investigate whether the effects of sex (male/female) that have been demonstrated in the pathology literature using 0.1 mm histopathologic slices are measurable and statistically significant using high-resolution (0.625 mm slice) computed tomography (CT). METHODS:IRB-approved retrospective analysis of high...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2013.04.013

    authors： Marcus S,Whitlow CT,Koonce J,Zapadka ME,Chen MY,Williams DW 3rd,Lewis M,Evans AK

    更新日期：2013-07-01 00:00:00

  • Surgical excision as primary treatment modality for extensive cervicofacial lymphatic malformations in children.

    abstract：OBJECTIVE:There has been much recent focus on sclerotherapy treatment of lymphatic malformations with OK432. Surgical treatment however can have a number of advantages, including complete curative excision. The aim of this study was to evaluate the results of surgical excision as the primary (first) treatment for this ...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2011.02.009

    authors： Bajaj Y,Hewitt R,Ifeacho S,Hartley BE

    更新日期：2011-05-01 00:00:00

  • Effect of rapid maxillary expansion on the dimension of the nasal cavity and on nasal air resistance.

    abstract：INTRODUCTION:Atresia of the maxilla is a transverse skeletal dysplasia, possibly associated with respiratory problems. For its correction, rapid maxillary expansion is a feasible orthodontic process. OBJECTIVE:To evaluate the effect of rapid maxillary expansion on the nasal cavity by acoustic rhinometry and computed r...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.ijporl.2005.12.019

    authors： Enoki C,Valera FC,Lessa FC,Elias AM,Matsumoto MA,Anselmo-Lima WT

    更新日期：2006-07-01 00:00:00

  • Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties.

    abstract：INTRODUCTION:With nationwide effort to increase breastfeeding rates in newborns and infants in recent years, there has been a dramatic increase in the diagnosis of ankyloglossia, and the resultant otolaryngology referral for frenotomy. Overall, there is a paucity of data on the expected benefit of frenotomy in this pop...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2020.109985

    authors： Bundogji N,Zamora S,Brigger M,Jiang W

    更新日期：2020-06-01 00:00:00

  • BAHA in children and adolescents with unilateral or bilateral conductive hearing loss: a study of outcome.

    abstract：OBJECTIVES:Bilateral BAHAs in adults with bilateral hearing loss (BHL) have proven to be superior to unilateral fitting, in both audiologically measurements and in overall patient satisfaction. There have been no similar studies in children. Furthermore, a recent meta-analysis of children with unilateral hearing loss (...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2006.09.014

    authors： Priwin C,Jönsson R,Hultcrantz M,Granström G

    更新日期：2007-01-01 00:00:00

  • Pediatric myringoplasty: a study of factors affecting outcome.

    abstract：OBJECTIVES:To analyze the success rates of myringoplasty in children, to assess prognostic factors and to evaluate their interactions in the evolution of myringoplasty. METHODS:Charts of patients who had undergone a myringoplasty between 1997 and 2007 were reviewed for: patient age, sex, perforation side, etiology, si...

    journal_title：International journal of pediatric otorhinolaryngology

    pub_type： 杂志文章

    doi：10.1016/j.ijporl.2011.03.015

    authors： Knapik M,Saliba I

    更新日期：2011-06-01 00:00:00