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Fetal surgery
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Emily A. Partridge, Alan W. Flake
The EXIT procedure was originally developed to allow removal of tracheal clips and establishment of an airway at the time of delivery after prenatal tracheal occlusion had been performed in severe cases of CDH. However, the indications for EXIT have expanded to include any case in which difficulty in obtaining an airway is anticipated, including CHAOS, giant anterior neck masses including cervical teratomas, pharyngeal tumors, mediastinal tumors, and hypoplastic craniofacial syndrome, or cases in which a thoracic mass will require resection in order to ventilate the patient, as in giant thoracic masses with dramatic mediastinal shift (large solid CPAMs).
Test Paper 2
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
The appearance here describes brachycephaly. Craniosynostosis is the premature fusion of cranial sutures and may be isolated or may present as part of a craniofacial syndrome. It typically alters the shape of the cranial vault. Broad categories include simple craniosynostosis, involving only one suture, or compound craniosynostosis, where two or more sutures are involved.
Paediatric Intensive Care
Published in John C Watkinson, Raymond W Clarke, Louise Jayne Clark, Adam J Donne, R James A England, Hisham M Mehanna, Gerald William McGarry, Sean Carrie, Basic Sciences Endocrine Surgery Rhinology, 2018
Louise Selby, Robert Ross Russell
There are several indications for either fibreoptic or rigid bronchoscopy in PICU: Persistent collapse of lobe/lung: Ventilated children may develop complete collapse of a lung, usually secondary to blockage of the major airways with secretions and mucus plugs (secondary to severe pneumonia). This can lead to major ventilatory problems with shunting. Fibreoptic bronchoscopy down the ETT can often identify the degree of blockage but a rigid bronchoscope may be needed to clear thick secretions. Intra-tracheal recombinant human DNAase (rhDNase) has been reported to be of benefit in segmental collapse.18Assessment of malacia: Clinical tracheo or bronchomalacia may be difficult to confirm. Flexible bronchoscopy may help locate the site and degree of weakness, but needs to be carried out with the patient self-ventilating as positive pressure ventilation can stent the airway open artificially.Assisted intubation: This is a rare indication as conventional intubation is usually relatively easily accomplished. However if a child has a craniofacial syndrome that may make this particularly difficult and bronchoscopic intubation may be indicated. The bronchoscope is threaded through an appropriately sized ETT and the endotracheal tube is advanced over the fibreoptic bronchoscope into position.Collection of broncho-alveolar lavage: The diagnosis of lung pathogens can be difficult, particularly in patients who are immunosuppressed. Many probable pathogens for pneumonia in these patients are not tracheal commensals. Broncho-alveolar lavage may be very useful in this situation. It can be carried out ‘blind’ by passing a nasogastric tube into the lungs, washing in 0.9% saline then aspirating or using a fibreoptic scope to direct the lavage to a particular part of the lung. If a good quality lavage is negative then an open lung biopsy maybe necessary.
A comparison of self-esteem and social appearance anxiety levels of individuals with different types of malocclusions
Published in Acta Odontologica Scandinavica, 2021
Ezgi Atik, Mehmet Mert Önde, Silvi Domnori, Saliha Tutar, Okan Can Yiğit
The following inclusion criteria were assessed for the present study: (1) patients aged between 12 and 18 years, (2) patients with the presence of all permanent teeth, (3) patients with reading and comprehension ability, (4) patients having cephalometric evaluation file, maxillary and mandibular impression dental models before orthodontic treatment for diagnostic purposes and (5) patients clinically assessed by one operator to identify ICON score. The exclusion criteria for the present study were: (1) the presence of any congenital craniofacial deformity (cleft lip and palate or any craniofacial syndrome or deformity) and (2) patients who have already initiated or completed orthodontic treatment. Besides, subjects with a history of organic or psychiatric disease, presence of caries, facial asymmetry and any skin deformity affecting facial aesthetics were also excluded from the study as all these factors could effect the results of the study by influencing the perception of appearance.
The Hebrew version of the Eustachian tube dysfunction questionnaire-7
Published in Hearing, Balance and Communication, 2018
Omer J. Ungar, Oren Cavel, Gilad S. Golan, Yahav Oron, Oshri Wasserzug, Ophir Handzel
Exclusion criteria for both groups were head and neck surgery 6 months prior to the study, a documented history of head and neck radiation therapy, past or current sinonasal malignancy, a current or recent diagnosis of upper respiratory tract infection or sinusitis. Other exclusion criteria were hypertrophic adenoid, cleft or repaired palate, a craniofacial syndrome, cystic fibrosis, nasal polyposis, ciliary dyskinesia or an immunodeficiency.