Causes of pediatric sensorineural hearing loss in Jordan

to evaluate the causes of sensorineural hearing loss in Jordanian children and compare them with previous reports a retrospective study of the medical records for all children diagnosed of sensorineural hearing loss. Seen from January 1,1999 through December 30,1999 at our institute .Eighty two patients aged 1 week through 13 years who presented for evaluation of sensorineural hearing loss. of eighty-two children 9.7% had congenital anomalies .4.9% had known syndrome.27% had birth factor like premature hypoxemia, elevated billirubin level, and prolonged neonatal intensive care unit. A family history of sensorineural hearing loss was found in 41.5%. The average age for diagnosis was 3.1 years for the bilateral moderate or severe sensorineural hearing loss .For unilateral sensorineural hearing loss the average age was 8.3 years. Compared to bilateral sensory neural hearing loss. sensorineural hearing loss is fairly common in children. Infant screening program, pre- marriage counseling and parental screening will help in evaluating and start early management

effect of preoperative intravenous dexamethasone in pediatric adenotonsillectomy

This study aimed at evaluating the efficacy of a single dose of preoperative dexamethasone on adenotonsillectomy postoperative nausea, vomiting, and oral intake. One hundred twenty children aged 4-14 years underwent adenotonsillectomy in Prince Rashed Hospital in Jordan, from January 1998 to March 1999. Sixty two chidren [51.7%] received dexamethasone preoperatively where 58 children did not [48.3%]. All children were observed for postoperative oral intake, vomiting, temperature and complications. Children who received intravenous dexamethasone had signifncantly less vomiting [4.8% vs 15.5%], elevation of temperature 6 hours [3.25% vs 15.5%] after surgery and more oral intake [620 ml vs 410 ml], liquid and soft diet at 24 hours [40.3% vs 18.9%]. Dexamethasone significantly decreased the incidence of postoperative nausea and vomiting in the twenty four hours after discharge with improved oral intake