Recurrent vocal cord granulomas in a twelve-year-old child

Vocal cord granulomas or contact granulomas are benign masses of the vocal fold. They are relatively uncommon. The etiology is usually multifactorial which makes it difficult to treat. The pathogenesis of this condition is still undetermined but can be attributed to three etiological factors: vocal abuse, laryngopharyngeal reflux disease, and laryngeal intubation. Recurrence is high due to the fact that most of the underlying causes are persistent. We report a case recurrent granuloma exacerbated by excision which contributed to its recurrence. Between 2012 to 2017, the patient had multiple microbroncholaryngoscopy [MLB] for excision of the granulomas [twice per year]. Co2 laser was used in some of the procedures. The patient was kept under observation with regular follow-up visits and endoscopies. In May 2018, the patient was symptom free and flexible nasal endoscopy showed normal bilateral vocal cords with disappearance of the granulomas

Spontaneous assisted ventilation in the extraction of a seed in the lefy main bronchus

We report a six-year-old Egyptian male who had aspirated a sunflower seed in his airway. The seed was removed using a fibreoptic camera and long forceps while he was ventilated using the SAV method

Comparison of postoperative pain in children with two intracapsular tonsillotomy techniques and a standard tonsillectomy microdebrider and radiofrequency tonsillotomies versus standard tonsillectomies

The aim of this study was to compare the duration and severity of postoperative pain for two different tonsillotomy techniques [radiofrequency [RF] and microdebrider [MD]] with the standard tonsillectomy. This non-randomised retrospective study, carried out from February 2011 to September 2012, investigated 128 children in two independent centres: Heim Pal Children's Hospital in Budapest, Hungary, and Muscat Private Hospital in Muscat, Oman. Those undergoing conventional tonsillectomies acted as the control group. One centre tested the MD technique [n = 28] while the other centre tested the RF technique [n = 31]. The pain-free period after the tonsillotomies was similar between the two techniques and ranged up to three days. Other indicators of pain resolution, like the use of a single analgesic, reduced night-time waking and the time taken to resume a normal diet, were also similar for the two groups. However, patients benefited significantly from having a tonsillotomy rather than a tonsillectomy. The partial resectioning of tonsillar tissue using the MD and RF techniques showed promising outcomes for a better postoperative quality of life when compared to a traditional tonsillectomy. In this study, the results of both the MD and RF tonsillotomy methods were almost identical in terms of the duration of postoperative pain and recovery time