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OBJECTIVE@#To explore the clinical characteristics and treatment skills of children with respiratory special foreign body.@*METHOD@#To retrospectively analyze the clinical characteristics of 49 cases of special airway foreign bodies in children during 2013. 5.1-2014. 5.1 in our hospital, and the treatment methods were summarized.@*RESULT@#Fourty-seven cases with rigid bronchoscopy foreign body cured, 1 case turned Department of thoracic sur- gery chest to remove foreign body, 1 case of death.@*CONCLUSION@#The clinical characteristics of special airway foreign bodies in children is different from ordinary foreign body, treatment of preoperative, intraoperative and postoperative is not fully equivalent to the ordinary foreign body.
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Child , Humans , Bronchoscopy , Foreign Bodies , Diagnosis , General Surgery , Respiratory System , Pathology , Retrospective StudiesABSTRACT
OBJECTIVE@#To evaluate the efficacy of sublingual immunotherapy (SLIT) with standardized Dermatophagoides farina drops in monosensitized and polysensitized patients with allergic rhinitis.@*METHOD@#The clinical data of 162 patients treated with standardized Dermatophagoides farina drops were analyzed retrospectively. These patients were divided into the monoallergen sensitized group and polyallergen sensitized group according to the results of skin prick tests. The total nasal symptoms score (TNSS), the total medication score (TMS) and adverse effects (AEs) were evaluated before treatment, 2 year after SLIT treatment and 3 year after drug discontinuance. Result:After SLIT treatment for 2 years and drug discontinuance for 3 years, the TNSS (3. 14[2. 47; 3. 65], 3. 45 [2. 76; 3. 92], respectively) and TMS (0. 42[0. 36; 0. 57],0. 35[0. 26; 0. 44], respectively) in the monoallergen sensitized group were lower than that before the treatment (TNSS: 9. 00 [8. 00; 10. 00], TMS: 2. 16 [1. 88; 2. 37]), which have showed a statistically significant difference(P0. 05).@*CONCLUSION@#SLIT with standardized Dermatophagoides farina drops has a long-term efficacy in monosensitized and polysensitized patients with allergic rhinitis. Moreover, a longer SLIT treatment (>2 years) may be necessary to consolidate its efficacy.
Subject(s)
Animals , Humans , Administration, Sublingual , Antigens, Dermatophagoides , Therapeutic Uses , Pyroglyphidae , Retrospective Studies , Rhinitis, Allergic , Therapeutics , Skin Tests , Sublingual Immunotherapy , Treatment OutcomeABSTRACT
OBJECTIVE@#To describe and analyze the clinical characteristics of nasopharyngeal teratoma in infants and improve the levels of diagnosis and treatment to reduce misdiagnosis.@*METHOD@#The clinical data of 11 cases of nasopharyngeal teratoma in infants were reviewed retrospectively and summarized the clinical features. After the preoperative examination of nasopharyngeal endoscopy and imaging (CT or MRI), all patients were under general anesthesia of nasopharyngeal teratoma surgical resection. Of them, 8 cases were used radiofrequency ablation, 3 cases used conventional power systems.@*RESULT@#Eleven cases with neoformation were completely removed, the operation time was 5-15 min, blood loss was 1-5 ml, patients had no significant nasal obstruction, bleeding, eating nasopharyngeal regurgitation, breathing difficulties or other complications. No recurrence was found after 10 months to 9 years followed up.@*CONCLUSION@#The nasopharyngeal mass must be kept in mind in the differential diagnosis of breathing difficulties in infants, especially when it exists together with upper airway obstruction symptoms; The low-temperature radiofrequency ablation with endoscopic had the advantages of short time, precise control, less bleeding, clear operative field, little injury and pain, low recurrence, providing a new clinical treatments.
Subject(s)
Child , Child, Preschool , Humans , Infant , Catheter Ablation , Endoscopy , Nasal Obstruction , Nasopharyngeal Neoplasms , General Surgery , Nasopharynx , Pathology , Neoplasm Recurrence, Local , Retrospective Studies , Teratoma , General SurgeryABSTRACT
Objective To study the causes and clinical features associated with hoarseness in children.Meth-ods The data of 4 668 children suffering from hoarseness were analyzed with electronic-nasopharyngolaryngosco-py retrospectively.ResuIts The top 6 common causes of hoarseness were chronic laryngitis (1 817 cases,38.9%), vocal cord nodules (1 494 cases,32.0%),vocal hypertrophy (560 cases,12.0%),the paralysis of vocal cord (373 cases,8.0%),congenital sulcus vocalis (149 cases,3.2%)and recurrent respiratory papilloma disease (140 cases,3. 0%).These six diseases were common in children with hoarseness with 4 533 out of 4668 (97.1%);of the chil-dren were 2 to 10 years old as the largest age group (65.8%,3 072/4 668)and the ratio of male and female was 2. 48:1.The top six diseases were statistically distributed in different age groups (P<0.01).ConcIusion The main causes of hoarseness were different in different age groups.The children aged 2 to 10 years old made up the largest group (3 072/4 668),showing the greatest incidence of hoarseness in children .The incidence for male patients was higher than female and the chronic laryngitis was the top disease.Hoarseness in children was different from that of adults so that to understand the characteristics of this disorder in children will be beneficial to the proper diagnosis and effective treatment.
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OBJECTIVE@#To classify congenital laryngeal cysts in 62 newborn or infants, and to discuss the characteristics of different operation mode.@*METHOD@#The clinical data of 62 infants with laryngeal cysts treated were reviewed retrospectively. After the examination of neck palpation, laryngoscope and imaging (CT or MRI), all patients were under general anesthesia of laryngeal cyst excision. we select operation mode according to the classification. Classification include: 61 cases of cysts were confined to the larynx, 1 case was beyond the larynx. Surgical managements include: an excision through external carotid approach in 1 case beyond the larynx, 61 cases had endoscopic excision under general anesthesia (12 cases with traditional bite exception, 12 cases with powered system and 37 cases with low-temperature radiofrequency ablation).@*RESULT@#The operations was successful. No recurrence was found after 0.5 to 7 years follow-up.@*CONCLUSION@#To chose surgical management after classification and preoperative assessment, which could avoid unnecessary opening surgical approaches, reducing the recurrence, and preventing repeated endoscopic treatment or tracheotomy. The low-temperature radiofrequency ablation had the advantages of short operation time, less bleeding, little injury, low recurrence rate and light postoperative reaction. It is worthy of clinical promotion.
Subject(s)
Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Cysts , General Surgery , Follow-Up Studies , Laryngeal Diseases , General Surgery , Retrospective StudiesABSTRACT
OBJECTIVE@#To improve diagnosis and treatment level of foreign body ingestion of button cell in children.@*METHOD@#Among the 14 cases with foreign bodies ingestion of button cell, 6 cases in esophageal, 7 cases in stomach and lower gastrointestinal tract, 1 case with multiple foreign bodies both in esophagus and stomach. Seven cases in stomach and lower gastrointestinal tract were closely observed without special treatment, 6 cases in esophageal, underwent esophagoscopy and removal of foreign body under general anesthesia, 1 case with multiple foreign bodies in esophagus and stomach underwent esophagoscopy and electronic gastroscopy and then removal of foreign body. All patients had symptomatic treatments after removal of foreign body. The average age is 2 years and 1 month.@*RESULT@#After the removal of button cell, Foreign bodies in stomach and lower gastrointestinal tract in 7 cases were all discharged spontaneously. For the 6 cases in esophagus, 4 cases were cured, 1 case had esophageal stricture, 1 cased died. 1 case with multiple foreign bodies in both esophagus and stomach was cured.@*CONCLUSION@#Esophageal foreign body has strong corrosiveness and would cause serious damages even to threaten children's life. It also may lead to esophageal stricture. The key point to cure this disease is to diagnose timely and to operate as soon as possible. Because neutralize of digestive juices and low probability of incarceration, with close observation, the foreign bodies of stomach and lower gastrointestinal tract can discharge spontaneously.
Subject(s)
Child, Preschool , Female , Humans , Infant , Male , Esophagus , Foreign Bodies , StomachABSTRACT
OBJECTIVE@#To study the effectiveness of tympanoplasty for treatment of chronic otitis media and cholesteatoma in children.@*METHOD@#Twenty-three cases with chronic otitis media and cholesteatoma treated by tympanoplasty were retrospectively studied, among which 15 cases had complete clinical data. The condition of surgical cavities, the duration of getting dry ears, the hearing improvements, the growth of new ear drums and whether the recurrence of cholesteatomas occurred or not were observed.@*RESULTS@#In all patients, the chief complains were ear discharging and hearing loss. The tympanum membranes(pars flaccid or pars tensa) became retracted or perforated and CT scan showed mastoid processes were poor developed in some cases with lesions mainly located at attic, middle tympanum cavity and/or petrous parts. The duration of getting dry ear was (6.0 +/- 1.5) weeks after surgery. The effective rate was 80%. The hearing of 12 cases has been improved, that of 2 cases has no changed, that of 1 case has been descended, and 1 case exhibited recurrent cholesteatoma after surgery.@*CONCLUSION@#This study demonstrated that children's chronic otitis media and cholesteatoma have their own clinic features of wide erosiveness and strong aggressiveness, and tympanoplasty has been proved to treat this disease effectively, also been proved to improve these patients' hearing cognitions and eventually improve their life qualities.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Cholesteatoma, Middle Ear , General Surgery , Chronic Disease , Otitis Media , General Surgery , Retrospective Studies , Treatment Outcome , TympanoplastyABSTRACT
OBJECTIVE@#The goal was to know more about the characteristic of auditory neuropathy spectrum disorder (ANSD) for high risk infants.@*METHOD@#The newborn hearing screening was performed with automatic auditory brainstem response (AABR) and transient evoked otoacoustic emission(TEOAE) for the infants in the NICUs from August 2007 to January 2011. After subsequent rescreening, children with AABR test referred were perform hearing test set including high frequency (1000 Hz) tympanometry, ABR, DPOAE and/or Cochlear Microphonics (CMs) in 3 months old. Only infants demonstrated severely abnormal ABRs along with preserved DPOAEs and/or CMs were scheduled for re-examination in 6-8 months old and Behavior audiometry in 8-12 months old.@*RESULT@#Eighteen infants (14 cases were bilateral and 4 cases were unilateral) considered as suffering from AN in 3 months old. All of them showed ABR thresholds > or = 80 dB nHL or absent at maximum test intensity. Follow-up examination revealed 9 cases (18 ears) with restoration of ABR to normal or a lower ABR thresholds and a resolution of ANSI) in 11 out of 18 infants retested in 6-8 months old. CMs were present in all ears but DPOAE were not present in 4 ears with middle ear pathology in 3 months test. Behavioral hearing of 10 cases ranged from mild (n = 2), moderate(n = 4) to severe and profound loss (n = 4).@*CONCLUSION@#ANSD in high risk neonates could show the temporary character. It was too difficult to forecast the prognosis, they would be to follow up to at least 3 years old for newborn ANSD.
Subject(s)
Child, Preschool , Humans , Infant , Infant, Newborn , Evoked Potentials, Auditory, Brain Stem , Follow-Up Studies , Hearing Loss, Central , Diagnosis , Vestibulocochlear Nerve Diseases , DiagnosisABSTRACT
OBJECTIVE@#To investigate the value of CT and MRI in diagnosing the children with sensorineural hearing loss.@*METHOD@#Ninety-six cases suspected as severe sensorineural hearing loss were examined by CT/MRI system and 3D reconstruction.@*RESULT@#Of 96 cases, 15 cases were found malformation these malformation included Michel, cochlear hypoplasia, commun cavity, Mondini, inner canal straitness, cochlear nerve undeveloped and vestibular aqueduct enlargements.@*CONCLUSION@#There are 15.63% inner ear malformation occurred in sensorineural hearing loss children. CT and MRI of inner ear have a great clinical value in diagnosing children sensorineural hearing loss by learning the anatomy.
Subject(s)
Child , Child, Preschool , Humans , Infant , Hearing Loss, Sensorineural , Diagnosis , Diagnostic Imaging , Magnetic Resonance Imaging , Tomography, X-Ray ComputedABSTRACT
OBJECTIVE@#To analyze the compliance of sublingual desensitization used in allergic rhinitis patients by telephone follow up, and to discuss the influencing factor associate with medicine pause.@*METHOD@#One hundred and thirty-two patients of allergic rhinitis were randomly divided into two groups, 53 cases was in the control group, 79 cases was in telephone follow up group for a period of 6 months of observation.@*RESULT@#Sublingual desensitization treatment for 6 months, 28/53 cases of control group were compliance, 25/53 cases were loss, and compliance rate was 52.8%; 17/27 cases of follow-up group A were compliance, 10/27 cases were loss, and compliance rate was 63.0%; 21/28 cases of follow-up group B were compliance, 7/28 cases were loss, and compliance rate was 75.0%; 22/24 of follow-up group C were compliance, 2/24 cases were loss, and compliance rate was 91.7% (P < 0.05). Significant difference was found in the 4th month after treatment (P < 0.01). Long-term treatment and cure were the main impact factors for compliance.@*CONCLUSION@#Timely telephone follow-up education and guidance to patients could improve compliance of patients with sublingual desensitization.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Administration, Sublingual , Antigens, Dermatophagoides , Allergy and Immunology , Desensitization, Immunologic , Methods , Follow-Up Studies , Patient Compliance , Rhinitis, Allergic, Perennial , Psychology , Therapeutics , TelephoneABSTRACT
OBJECTIVE@#To improve diagnosis and treatment level of esophageal foreign bodies of button cell.@*METHOD@#Reported 4 clinical cases of esophageal foreign bodies of button cell.@*RESULT@#Because of different diagnosis time and different surgical time, one case died and the other were cured.@*CONCLUSION@#Esophageal foreign bodies of button cell has been reported rarely before. Because button cell is caustically basic, drastically dangerous, it should be emphasized clinically. The key point to cure this disease is diagnosing timely and operating a surgery as soon as possible.
Subject(s)
Female , Humans , Infant , Male , Esophagus , Foreign Bodies , TherapeuticsABSTRACT
Objective:To examine the temperatment of children with vocal fold nodules.Method:To compare the temperatment dimension and temperatmental types of 42 children with vocal fold nodules with 46 vocally normal children, using Chinese children's Temperament Problem Screening system(CCTPSs).Result:The children with vocal fold nodules differed significantly from the comparasion group in their temperament dimension's adaptability,intensity of reaction, mood value, persistency and temperatmental types.Conclusion:There are more difficult and slow-to-warm-up children in patients with vocal fold nodules than vocally normal children.
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OBJECTIVE@#To investigate the prevalence of otitis media with effusion (OME) of kindergarten children in Wuhan City.@*METHOD@#The study subjects were 3-6-year-old children in some kindergarten children in Wuhan City . All subjects were assessed with routine otorhinolaryngologic examination, otoscopic examination and tympanometry. Chi-square test were used to analyse the difference of data.@*RESULT@#The prevalence of children of some kindergarten in Wuhan City is 6.67%. There was no statistical difference were found between sexuality. The prevalence of OME in 3 years old group is obviously higher than that in 4-6 years old group. Previous acute otitis media episodes, feeding, high-arched palate, and nasal obstruction are risk factors of OME.@*CONCLUSION@#Children with previous acute otitis media episode and nasal obstruction should be suggested to have otorhinolaryngologic examination regularly. It is necessary to have routine otoscopic examination and tympanometry in children of kindergarten.
Subject(s)
Child , Child, Preschool , Humans , China , Epidemiology , Otitis Media , Epidemiology , Prevalence , Schools, NurseryABSTRACT
OBJECTIVE@#To examine the temperament of children with vocal fold nodules.@*METHOD@#To compare the temperament dimension and temperamental types of 42 children with vocal fold nodules with 46 vocally normal children, using Chinese children's Temperament Problem Screening system (CCTPSs).@*RESULT@#The children with vocal fold nodules differed significantly from the comparison group in their temperament dimension's adaptability, intensity of reaction, mood value, persistency and temperamental types.@*CONCLUSION@#There are more difficult and slow-to-warm-up children in patients with vocal fold nodules than vocally normal children.
Subject(s)
Child , Child, Preschool , Female , Humans , Male , Adaptation, Psychological , Case-Control Studies , Laryngeal Diseases , Psychology , Surveys and Questionnaires , Temperament , Vocal Cords , PathologyABSTRACT
OBJECTIVE@#To explore the different character of children from 0 to 3 years old, understand their psychological features, give guidances about nurturing and educating children, and supply theoretical base for preventing problems of children behaviors.@*METHOD@#Two hundred and fifty-one children patients from 0 to 3 years old were surveyed from clinic of maternal and child health care with children character software and questionnaire.@*RESULT@#Among all characters, 32.3% children were easy and medium nurturing type, 31.1% easy nurturing type, 23.1% difficult nurturing type, 7.5% slow startup and 6.0% difficult and medium type.@*CONCLUSION@#Main character of children from 0-3 years old are easy and medium nurturing type and easy nurturing type. Children with different ages and sexes have different characters, so pertinent education and guidance should be given according to characters of different ages and sexes so as to improve their health.
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Child, Preschool , Female , Humans , Infant , Infant, Newborn , Male , Child Behavior , Foreign Bodies , Psychology , Respiratory System , Surveys and Questionnaires , TemperamentABSTRACT
OBJECTIVE@#To observe the clinic features of the sulcus vocalis in children.@*METHOD@#From Jan 1995 to April 2005,56 cases of pediatric sulcus vocalis were found by video-laryngoscopy. All received an operation called sulcus vocalis microdissection and vocal cord plasty with four steps: an incision along the superolateral edge of the sulcus; freeing of the mucosa adhering to the vocal ligament; detachment of the ligamentous fibers; redraping of the mucosa.@*RESULT@#The total effective rate was 96.4% after surgical treatment.@*CONCLUSION@#There are 5% sulcus vocalis among children referred for voice disorders. The sulci are frequently found in association with other laryngeal abnormalities. Sulcus vocalis microdissection and vocal cord plasty might be a rational and effective surgical modality.
Subject(s)
Child , Child, Preschool , Female , Humans , Male , Laryngeal Diseases , General Surgery , Laryngoscopy , Plastic Surgery Procedures , Methods , Vocal Cords , Congenital AbnormalitiesABSTRACT
Objective To investigate the correlation between auditory steady state responses(ASSR)and click audiotory brainstem respone(cABR)of infants as a function of different ages below 36 months.Methods 299 infants(497 ears from 1 to 36 months)were divided into 5 groups:208 ears in group 1(1~ month old),81 ears in group 2(4~ months old),47 ears in group 3(7~ months old),53 ears in group 4(13~ months old),and 108 ears in group 5(19~36 months old).The correlation analysis of the thresholds of 2 kHz and 4 kHz between ABR and ASSR were conducted,respectively with SPSS.Results In group 1,the correlation coefficient at 2 kHz between ABR and ASSR was 0.499,the correlation coefficient at 4 kHz between ABR and ASSR was 0.541,the correlation coefficient of the means of 2 kHz and 4 kHz between ABR and ASSR was 0.531.In group 2,these three correlation coefficients were 0.678,0.705 and 0.726,for group 3,0.792,0.717 and 0.777;for group 4,0.934,0.880 and 0.915,for group 5,0.817,0.810 and 0.867.Conclusion For infants of 1~18 months old,the correlation between ABR and ASSR increases as a function of ages.
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Objective:To observe the effect of Livostin spray on children＇s allergic rhinitis and to search the mechanism of treating allergic rhinitis. Method: 113 patients were treated with Livostin spray (Livostin group) or normal saline spray (control group). Result:The total efficiency of Livostin group in treating allergic rhinitis is above 95.1％ and that of the control group is 25.0％. Initial time of starting effect of Livostin (72.1％) is in 1 minute, and that of the control group (mostly 23.1％) is in 3 minutes. The keeping curativeeffect time of Livostin spray is mostly (72.1％) above 5 hours and that of the control group is mostly (30.8％) in 3 hours. After 2 weeks,the eosinophilic granulocyte number in nose＇s secretion of Livostin group is obviously reduced (P＜0.05). Conclusion: Livostin is better than control group in relieving symptoms, keeping curative effect and safety,so Livostin is one kind of effective drug in treating children＇s allergic rhinitis.
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0.05),but the difference was significant at high frequency(P