Needed:
Multicenter study on HIV & Malignancies in Nigeria...
Following a paper published by Ocheni & Aken'ova in 2004
(West Afr. J. Med. 2004 Apr-Jun, 23(2);151-5), and with
an increasing number of HIV patients being diagnosed in
otolaryngology clinics across Nigeria, it has become
apparent that there is a need for a multicenter study on
the incidence, prevalence and other variables
determining the histological types and behaviors of
malignancies seen in HIV+ patients...Click
Here for more
information
New
Forum For Otolaryngologists in Africa...
A
new online forum has just being created to enable
Otolaryngologists in Africa share opinions, discuss
cases, and keep abreast of other global events
concerning the sciences and arts of otolaryngology. You
are cordially invited to be a member of this new group
designed to advance otolaryngology to the NEXT level.
Feel free to forward this information to other
Otolaryngologists known to you who might be interested
in being part of this event. To view this blogsite,
click
Here...
Your approach to subglottic
stenosis in a neonate.....
Will you or will
you not carry out cricotracheal resection (CTR) for
subglottic stenosis in a child weighing 10kg or less?
Garabedin et al recently (Arch Otolaryngol Head Neck
Surg 2005 Jun;131(6):505-8.) gave the first reported
attempts at CTR in this weight category and
concluded that the result compares well with results in
older children
Abstract:
OBJECTIVE: To review cricotracheal resection (CTR) in
children weighing less than 10 kg. DESIGN AND SETTING:
Retrospective study of 17 patients (mean follow-up, 23
months) from 3 ear, nose, and throat pediatric
centers. PATIENTS: Seventeen children (10 boys and 7
girls; mean age, 14.6
months; and mean weight, 7.6 kg) undergoing CTR from
June 1995 to March
2003. MAIN OUTCOME MEASURES: Decannulation rates and
endoscopies. RESULTS: The cause was congenital
subglottic stenosis in 2 children (12%) and
acquired subglottic stenosis in 15 (88%). All but 1 had
grade 3 or 4
stenosis. The mean hospitalization duration was 34 days.
Single-stage CTR
was performed in 11 children (65%), with peroperative
decannulation in 7.
Extubation of these patients occurred between days 3 and
9. Decannulation
of the other 6 patients was performed after a median of
15 days. Sixteen
(94%) of the 17 children were decannulated. Four
patients required
additional carbon dioxide laser treatment for subsequent
glottic or
subglottic edema or granulomas, but no reintubation was
necessary. One
child could not be decannulated because of
bronchopulmonary disease, and
subglottic stenosis recurred. Long-term tracheotomy was
avoided in all
other patients. Another child died of cardiac disease.
All other patients
remained free of significant subglottic stenosis at
follow-up.
CONCLUSIONS: Cricotracheal
resection in small children weighing less than
10 kg was a safe and effective procedure for severe
subglottic stenosis.
To our knowledge, this is the first reported attempt of
CTR in this weight
category, providing results comparable to those
published in older
children.
