Subject(s)
Adenoidectomy , Adenoids/pathology , Adolescent , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , MaleABSTRACT
To evaluate prevalence, main causes and social factors of chronic tonsillitis (CT), we examined 321 families 335 children (age 1-15 years) from which had diagnosis of CT. The examination detected CT in the other 114 children from these families. Families of 120 healthy children matched for age served control. Family tonsillitis was detected in 171 (53.3%) families of the study group and 15 (17.5%) families of the control group (p < 0.05). Of 307 mothers of reproductive age, 84 (26.3%) were diagnosed to have CT, 36 (11.2%) of them had a history of tonsillectomy. Our data suggest the existence of family CT. To prevent it, early preventive measures should be taken.
Subject(s)
Tonsillitis , Adolescent , Child , Child, Preschool , Chronic Disease , Female , Humans , Infant , Male , Observer Variation , Prevalence , Surveys and Questionnaires , Tonsillitis/epidemiology , Tonsillitis/genetics , Tonsillitis/prevention & controlABSTRACT
Otitis media purulenta chronica (OMPC) in children affects frequently the mastoid process necessitating plastic repair of the mastoid cavity. Taking this in consideration, in the surgery of 66 children with OMPC the authors used implants of demineralized lamb bone tissue. The graft retention occurred in 93.9% of cases.
Subject(s)
Bone Transplantation/methods , Mastoid/transplantation , Otitis Media, Suppurative/surgery , Adolescent , Animals , Bone Matrix/transplantation , Child , Child, Preschool , Chronic Disease , Graft Survival , Humans , Sheep , Transplantation, Heterologous , Treatment OutcomeABSTRACT
Posttraumatic dacryocystitis in children are associated with different anatomic defects of the external nose, nasal cavity, eyelids and adjacent tissues. These injuries may complicate conventional endonasal dacryocystorhynostomy. The first step in the treatment of posttraumatic dacryocystitis should be surgical correction of nasal breathing. It is also necessary to apply bone window at least 1.2 cm in diameter followed by formation of the stoma using intubation tube.
Subject(s)
Dacryocystitis/surgery , Dacryocystorhinostomy/methods , Lacrimal Apparatus/injuries , Adolescent , Child , Child, Preschool , Dacryocystitis/diagnosis , Dacryocystitis/etiology , Eyelids/injuries , Humans , Nose/injuries , Orbital Fractures/complications , Prognosis , Retrospective StudiesABSTRACT
Chronic tonsillitis (CT) was found in 63.1% of 190 obese children aged 3-15 years, 15% of them had no quinsy in the past. Onset of obesity was attributed to frequent quinsy in 18.3% of the examinees. Marked CT exacerbations were more typical for the children aged 6-7 years (10%). In 12-15-year-olds the disease tended to a sluggish course with scarce symptoms (25.8%). Pharyngoscopy discovered edema and hypertrophy of the tonsils in 74.1% of the patients. 35 patients underwent tonsillectomy. Examination of the removed tonsil tissue for phospholipids revealed pathological phospholipids lysophosphatidylcholine and phosphatidylinosite the quantities of which rose with growing obesity. It may be the result of negative action of obesity on tonsil structure.
Subject(s)
Obesity/complications , Tonsillitis/diagnosis , Adolescent , Child , Child, Preschool , Chronic Disease , Humans , Lysophosphatidylcholines/analysis , Obesity/etiology , Palatine Tonsil/chemistry , Peritonsillar Abscess/complications , Phosphatidylinositols/analysis , Phospholipids/analysis , Tonsillectomy , Tonsillitis/metabolism , Tonsillitis/surgerySubject(s)
Disseminated Intravascular Coagulation/complications , Otitis Media, Suppurative/complications , Sepsis/complications , Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Child, Preschool , Follow-Up Studies , Humans , Male , Otitis Media, Suppurative/surgery , Staphylococcal Infections/complications , Staphylococcal Infections/drug therapy , Staphylococcus aureus/isolation & purification , Time FactorsABSTRACT
The authors propose a procedure of timed catheterization of the nasolacrimal duct for use in children with the duct stenosis and congenital dacryocystitis. The catheter is inserted for 7-10 days. Out of 27 children treated (20 cases of congenital dacryocystitis and 7 cases of the stenosis), a persistent effect was achieved in 24. The authors advocate the method as effective and promising in the above conditions.
Subject(s)
Catheterization , Dacryocystitis/congenital , Dacryocystitis/therapy , Nasolacrimal Duct , Adolescent , Child , Child, Preschool , Constriction, Pathologic/therapy , Female , Humans , Male , Time FactorsABSTRACT
Endonasal dacryocystorhinostomy performed in 78 children gave a steady favourable effect. Such a surgical operation is also recommended in dacryocysts complicated by phlegmons. Concomitant external fistulae of the lacrimal sac usually spontaneously closed after the operation, large fistulas were sutured.
Subject(s)
Dacryocystorhinostomy , Adolescent , Age Factors , Cellulitis/complications , Cellulitis/surgery , Child , Child, Preschool , Dacryocystitis/complications , Dacryocystitis/surgery , Humans , Infant , RecurrenceABSTRACT
Results of endonasal catheterization of the naso-lacrimal canal of 74 children with congenital dacryocystitis (bilateral problem in 10 of them) are presented. Prior to this manipulation, the patients were exposed to contrast X-ray study of the lacrimal sac for diagnostic purposes. Retrograde catheterization as a method for treating congenital dacryocystitis was very good in 97.3% children of up to 2 years old, 50% children of up to 3 years old, and 33.3% children between 3-4 years old. The patency of the naso-lacrimal canal also recovered in an 8-year-old child. All this gives evidence that, irrespective of children's age, retrograde catheterization should be applied to treat congenital dacryocystitis. After the patency of the naso-lacrimal canal was restored, the external fistula of the lacrimal sac was cauterized with 7% solution of trichloroacetic acid.
