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OBJECTIVES/HYPOTHESIS To observe rates of gastrostomy tube (g-tube) placement in Pierre Robin Sequence (PRS) and to determine whether relieving airway obstruction solves feeding difficulties. STUDY DESIGN All PRS referrals to a multidisciplinary cleft team for children at a tertiary pediatric hospital from January 1988 to June 2006 were retrospectively(More)
In response to infection in the middle ear, inflammatory cells produce cytokines--potent regulators and mediators of the immune response. In an earlier study, we demonstrated that levels of the cytokine interleukin 1 were higher in middle-ear effusions from younger children, while levels of the cytokine tumor necrosis factor were higher in middle-ear(More)
Many studies have been done recently to determine the role of various stresses on the heart and peripheral vasculature. Although damage to coronary arteries and renal vessels has been well described, the ear as an end-organ in small vessel disease has been largely neglected. In a previous study, we examined the effects of noise, hypertension, and an(More)
OBJECTIVES Objectives of the study were to determine the effectiveness of distraction osteogenesis of the mandible to relieve airway obstruction in children with tongue-base airway obstruction and to describe the new surgical techniques developed for use in infants and young children. STUDY DESIGN Prospective, nonrandomized study. METHODS Analysis of 11(More)
OBJECTIVE The aim of this study is to determine whether cross-infection occurs between infections in the sinuses and lower airways in Cystic Fibrosis patients, and to determine whether the infections begin in the sinuses before spreading to the lungs. METHODS Retrospective study of pediatric Cystic Fibrosis patients who underwent simultaneous sinus(More)
OBJECTIVES To report the pathologic findings in cases involving endotracheal and endobronchial tumors in the pediatric population and to describe the presenting symptoms and treatment modalities for endotracheal and endobronchial tumors. DESIGN Retrospective chart review. SETTING Tertiary care children's hospital. PATIENTS The study included 14(More)
OBJECTIVES To determine the prevalence of positional plagiocephaly and brachycephaly in teenagers born after the "Back to Sleep" campaign but before orthotic helmet treatment became widely available and to provide long-term outcomes data on those children with plagiocephaly who were not treated with remolding therapy. STUDY DESIGN Cross-sectional(More)
OBJECTIVE To describe the interventions required for successful airway management in children with Pierre Robin Sequence (PRS). STUDY DESIGN Case series. SUBJECTS AND METHODS The records of both a cleft and craniofacial clinic and a pediatric otolaryngology clinic were searched, and all children with PRS were identified. Data concerning feeding(More)
PURPOSE OF REVIEW Airway obstruction and craniofacial deformities resulting from mandibular deficiency are challenging and complex clinical problems. Mandibular distraction osteogenesis is playing a rapidly expanding role in the treatment of these children and has supplanted traditional management techniques in many centers. Several recent studies have(More)
OBJECTIVES/HYPOTHESIS To evaluate the management and outcomes of children with invasive fungal sinonasal disease treated with radical surgery. STUDY DESIGN Retrospective case series. METHODS From 1994 to 2007, 11 pediatric patients were identified with invasive fungal sinonasal disease treated surgically by the same pediatric otolaryngologist. Collected(More)