ABSTRACT
No disponible
Subject(s)
Humans , Infant , Infant, Newborn , Hearing Loss/diagnosis , Deafness/diagnosis , Hearing Disorders/etiology , Neonatal Screening/methods , Speech Disorders/prevention & control , Language Disorders/prevention & control , Learning Disabilities/prevention & controlABSTRACT
El síndrome de apnea obstructiva del sueño (SAOS) puede ser causa en el niño de graves complicaciones orgánicas y funcionales que repercuten en su correcto desarrollo. No es bien conocida la incidencia del problema en nuestro medio, pero sí parece demostrado que la hipertrofia amigdalar y/o adenoidea desempeñan un papel en la génesis fundamental del problema en el niño. Intentaremos repasar los aspectos básicos para el correcto estudio de este síndrome (AU)
Subject(s)
Adolescent , Adult , Female , Child, Preschool , Infant , Male , Child , Humans , Infant, Newborn , Sleep Apnea, Obstructive/diagnosis , Child Development , Sleep Apnea, Obstructive/complications , Sleep Apnea, Obstructive/etiology , Polysomnography , Sleep/physiology , Sleep Stages , Amygdala , AdenoidsABSTRACT
Orbital cellulitis is an uncommon complication resulting from a spectrum of disorders commonly found in pediatric practice. It usually occurs as a complication of infection of the paranasal sinuses, although it also can be caused by eyelid or dental juries, dental infection and external ocular infection. We studied the clinical, microbiological, and therapeutic features of 152 children diagnosed as periorbital cellulitis and 27 children with orbital cellulitis admitted to our hospital in a 16-year period from January 1983 to December 1998. Twenty-four percent of patients (43 cases) had positive cultures. Thirty children with septal or preseptal cellulitis developed neurological or ophthalmological complications. Intravenous or oral antibiotic administration was effective in 150 patients, but a significant proportion required surgery of the paranasal sinus or orbit (16%).
Subject(s)
Bacterial Infections/therapy , Cellulitis/therapy , Orbital Diseases/therapy , Algorithms , Bacterial Infections/microbiology , Cefotaxime/therapeutic use , Cellulitis/etiology , Child , Child, Preschool , Drug Therapy, Combination/therapeutic use , Female , Humans , Male , Orbital Diseases/etiology , Prospective Studies , Retrospective StudiesABSTRACT
La celulitis orbitaria es una patología relativamente infrecuente en la práctica pediátrica, normalmente aparece como complicación de la sinusitis, aunque también puede ser debida a traumatismos faciales o dentarios, infecciones dentarias, o infecciones óculo-lacrimales. Presentamos nuestra casuística de pacientes diagnosticados de celulitis peri u orbitaria durante los últimos 16 años desde enero de 1983 a diciembre de 1998, sus hallazgos clínicos, microbiológicos, y terapéuticos. 152 niños correspondían a celulitis periorbitarias y 27 niños a celulitis orbitarias. El 24 por ciento de los pacientes (43 casos) tenían cultivos positivos, 30 casos con celulitis peri u orbitaria desarrollaron complicaciones neurológicas u oftalmológicas, el tratamiento consistió en antibioterapia únicamente en 150 casos, precisando el 16 por ciento de los casos además tratamiento quirúrgico (AU)
Orbital cellulitis is an uncommon complication resulting from a spectrum of disorders commonly found in pediatric practice. It usually occurs as a complication of infection of the paranasal sinuses, although it also can be caused by eyelid or dental juries, dental infection and external ocular infection. We studied the clinical, microbiological, and therapeutic features of 152 children diagnosed as periorbital cellulitis and 27 children with orbital cellulitis admitted to our hospital in a 16-year period from January 1983 to December 1998. Twenty-four percent of patients (43 cases) had positive cultures. Thirty children with septal or preseptal cellulitis developed neurological or ophthalmological complications. Intravenous or oral antibiotic administration was effective in 150 patients, but a significant proportion required surgery of the paranasal sinus or orbit (16%) (AU)
Subject(s)
Child, Preschool , Child , Male , Female , Humans , Orbital Diseases , Bacterial Infections/therapy , Cellulite/therapy , Drug Therapy, Combination , Retrospective Studies , Cefotaxime/therapeutic use , Algorithms , Prospective StudiesABSTRACT
Twenty-eight healthy pediatric patients scheduled for bilateral tonsillectomy under general anesthesia were allocated randomly into two groups. The same anesthetic technique was used in both groups. After oral intubation, tonsils were infiltrated with either 0.5% bupivacaine (group B) or isotonic saline solution (group F). During surgery, hemodynamic stability, blood loss, and need for additional anesthesia were evaluated. After surgery, hemodynamic stability, pain, general behavior, need for analgesics, oral intake, and complications were evaluated. The bupivacaine group had significantly less bleeding in the first tonsil, less need for anesthetics, and less pain in the first eight hours after surgery. None of the other variables showed statistically significant differences. These results suggest that preoperative infiltration of the tonsils with bupivacaine was useful for reducing bleeding and intraoperative anesthesia requirements, and that it reduced pain in the immediate postoperative period.
Subject(s)
Anesthetics, Local , Bupivacaine , Tonsillectomy , Child , Child, Preschool , Female , Hemodynamics , Humans , Male , Pain, Postoperative , Prospective StudiesABSTRACT
Orbital and periorbital cellulitis, which can result from a spectrum of disorders that are commonly encountered in pediatric practice, usually develops as a complication of paranasal sinus infection, and also can result from dental infection, trauma to the eyelids or external ocular infection. The clinical features, microbiological data and treatment of 97 children with periorbital cellulitis and 19 children with orbital cellulitis, admitted to our hospital from January 1983 through December 1993, are reported here. Twenty-three percent of the children (27 cases) had positive cultures, 7 cases with orbital cellulitis developed neurological or ophthalmological complications. Antibiotic therapy alone was effective in 97 patients, but a significant proportion required paranasal sinus or orbital surgery (16%).
