ABSTRACT
No disponible
Subject(s)
Humans , Female , Infant, Newborn , Nasal Polyps/diagnostic imaging , Nasal Polyps/surgery , Cleft Lip/diagnosis , Agenesis of Corpus Callosum/diagnostic imaging , Agenesis of Corpus Callosum/pathology , EndoscopySubject(s)
Lip Diseases , Nasal Polyps , Polyps , Female , Humans , Infant, Newborn , Lip Diseases/diagnosis , Lip Diseases/surgery , Nasal Polyps/diagnosis , Nasal Polyps/surgery , Polyps/diagnosis , Polyps/surgery , SyndromeABSTRACT
OBJECTIVE: Voice disorders are very common in the pediatric population, with 6% and 23% of all children presenting with some form of dysphonia [1,2]. For many years, these patients have been underdiagnosed. There has been increasing awareness and interest in the study of voice alterations in children, and, most importantly, their impact in their quality of life. To do this, an instrument capable of measuring the quality of life in pediatric patients with vocal pathology is required, which can be used extensively in the scientific community. The objective of our study is to carry out the translation, transculturalization and validation of pVHI (Pediatric Voice Handicap Index) to Argentinian Spanish-speakers. MATERIAL AND METHODS: A study was carried out in the Hospital de Pediatria Dr. JP Garrahan in the city of Buenos Aires, Argentina. It included patients between 3 and 18 years old. The pVHI was translated and transculturalized for said population and for its validation, a survey was carried out in two groups of patients: one group being children with a background of both reconstructive larynx surgery, and dysphonia (nâ¯=â¯35) and the other group being control patients, without any voice pathology (nâ¯=â¯35). The survey was conducted among either parents or caregivers of the children in question. RESULTS: A significant difference was found between both groups, for both overall pVHI score and survey subgroups score (pâ¯<â¯0.001) with an optimal internal confidence and a good Alpha Cronbach for each of the subgroups (functional 0,92; organic 0,87 and emotional 0,88). Test-retest for reliability revealed "p-values" without any significant difference (pâ¯>â¯0.05) for each of all subgroups (functional 0,68; organic 0,32 and emotional 0,72). CONCLUSION: The validation and transculturalization of the rate of pediatric vocal impairment to Argentinian Spanish population presented an adequate validity and reliability. The rate of pediatric vocal impairment was identified through this simple and practical survey, offering additional information on the child's own vocal perception by part of the caregiver. We recommend this survey being included as a valuable tool in the evaluation of pediatric dysphonia in Spanish-speaking families.
Subject(s)
Dysphonia/diagnosis , Quality of Life , Surveys and Questionnaires , Adolescent , Argentina , Child , Child, Preschool , Dysphonia/psychology , Emotions , Female , Humans , Language , Male , Parents , Prospective Studies , Reproducibility of Results , Severity of Illness Index , TranslationsABSTRACT
A 7-month-old male child is reported with congenital cholesteatoma of the external auditory canal. We describe the clinical features, computed tomography finding and surgical treatment. Congenital cholesteatomas can occur within the temporal bone. There are six places of location: (1) petrous apex, (2) mastoid, (3) middle ear, (4) both middle ear and mastoid, (5) external ear canal and (6) within the squamous portion of the temporal bone. Congenital cholesteatoma of the external auditory canal is rare. Generally, it appears in the canal floor without lesions in the tympanic membrane. Computed tomography completes the study. Treatment consists of excision of the mass.
Subject(s)
Cholesteatoma/congenital , Cholesteatoma/diagnostic imaging , Ear Canal/abnormalities , Ear Canal/diagnostic imaging , Ear Neoplasms/congenital , Ear Neoplasms/diagnostic imaging , Cholesteatoma/surgery , Ear Canal/surgery , Ear Neoplasms/surgery , Humans , Infant , Male , RadiographyABSTRACT
El objetivo del presente trabajo es evaluar a 63 niños con traumatismo del hueso temporal,con o sin fractura,ingresados al Servicio de Otorrinología del Hospital de Pediatría Garrahan,en el período comprendido entre Febrero de 1993 y Junio de 1998 e investigarel compromiso vestibular secundario.Se utilizó un diseño retrospectivo,descriptivo y observacional.La edad de la población estudiada fue de 4 a 14 años.Las evaluaciones fueron realizadas en forma inmediata a la consulta,a los 7 y a los 30 días.A todos los pacientes se le realizó Otomicroscopía,tomografía computada,evaluación audiológica y vestibular.Resultados:del total de la muestra(n=63)13 presentaron,11 de sexo masculino y 2 de sexo femenino.De los 13 paciente,solo 7 pudieron completar las evaluaciones dependiendo de la integridad de la menbrana timpánica para la evaluación de la Electronistagmografía.10 pacientes presentaron fractura de hueso temporal.ocho pacientes presentaron hipoacusia.todos los pacientes fueron evaluados con pruebas calóricas persentaron arreflexia vestibular.a los 30 días la totalidad de la muestra conservó la arreflexia vestibular realizando una compensación central(contralateral a la lesión)con ausencia de sintomatología vestibular
Subject(s)
Child, Preschool , Child , Adolescent , Temporal Bone , Vestibular Diseases , Wounds and Injuries , PediatricsABSTRACT
El objetivo del presente trabajo es evaluar a 63 niños con traumatismo del hueso temporal,con o sin fractura,ingresados al Servicio de Otorrinología del Hospital de Pediatría Garrahan,en el período comprendido entre Febrero de 1993 y Junio de 1998 e investigarel compromiso vestibular secundario.Se utilizó un diseño retrospectivo,descriptivo y observacional.La edad de la población estudiada fue de 4 a 14 años.Las evaluaciones fueron realizadas en forma inmediata a la consulta,a los 7 y a los 30 días.A todos los pacientes se le realizó Otomicroscopía,tomografía computada,evaluación audiológica y vestibular.Resultados:del total de la muestra(n=63)13 presentaron,11 de sexo masculino y 2 de sexo femenino.De los 13 paciente,solo 7 pudieron completar las evaluaciones dependiendo de la integridad de la menbrana timpánica para la evaluación de la Electronistagmografía.10 pacientes presentaron fractura de hueso temporal.ocho pacientes presentaron hipoacusia.todos los pacientes fueron evaluados con pruebas calóricas persentaron arreflexia vestibular.a los 30 días la totalidad de la muestra conservó la arreflexia vestibular realizando una compensación central(contralateral a la lesión)con ausencia de sintomatología vestibular
