Blunt trauma to the larynx: a case report.
Explore the source record for details and available documents.
Accidents, Traffic↗
Biomedical subjects
A B Seid
Publications and source records attributed to A B Seid.
Nasopharyngeal angiofibroma.
Based on this patient's history and the imaging studies, all the consultants agree that they are dealing with a juvenile nasopharyngeal angiofibroma. They agree that a biopsy is not necessary. However, angiography would be obtained by 2 physicians (Drs. Seid and Weber). When treating an extensive JNA, the consultants differ in their approaches. One favors a lateral infratemporal fossa approach (Dr. Gantz), but the others favor a combined approach (Drs. Seid and Weber). In this particular case, 2 experts favor resection (Drs. Gantz and Weber), but one would irradiate (Dr. Seid). There is also disagreement regarding the severity of morbidity. Minor problems include conductive hearing loss, paresis of the third division of the fifth cranial nerve (Dr. Gantz), and a transient facial nerve paralysis (Dr. Weber). They are more concerned about the long-range problems from skull-base radiotherapy including brain-stem compromise, pituitary dysfunction, and radiation-induced malignancies. No one suggests chemotherapy or multimodal therapy. Regarding the natural history of JNA, the views range from no spontaneous regression (Dr. Gantz), gradual involution over time (Dr. Seid), or an indolent nature that requires tapering the treatment to the benign nature of the process (Dr. Weber).
Adolescent↗
Acute sphenoid sinusitis in children.
Explore the source record for details and available documents.
Acute Disease↗
Internal laryngocele and saccular cysts in children.
Two children, one with an internal laryngocele and the other with a lateral saccular cyst are described. The anatomy, classification, and history of these unusual lesions are described. The diagnosis and management are discussed. An external approach is suggested for the more persistent cases.
Cysts↗
Management of the extubation problem in the premature child. Anterior cricoid split as an alternative to tracheotomy.
Long-term endotracheal intubation is a widely established means of giving ventilatory support in the newborn period. Though such long-term intubation is well tolerated by the premature infant, laryngeal complications do occur and extubation may be impossible even though the initial disease process for which the intubation was performed has resolved. In such a situation, careful endoscopic evaluation of the upper respiratory tract is advocated to identify the site of the problem. If subglottic edema or mucosal ulceration in the subglottic area is the site of the damage and if, during endoscopic evaluation immediately following removal of the endotracheal tube, the subglottic area starts to narrow because of edema formation or edema fluid filling up compressed granulation tissue, then a split of the cricoid in the midline anteriorly, leaving the endotracheal tube in as a stent, appears to be a preferable alternative to performing a tracheotomy. Of 12 consecutive patients, 9 have been successfully extubated.
Cricoid Cartilage↗
Protrusion of the laryngeal ventricle in a pediatric patient following nasotracheal tube intubation.
Nasotracheal intubation has been well established as a method for maintaining an artificial airway in children. Approximately 0.5% to 1.0% of cases have complications that require surgical intervention to correct the laryngeal trauma. A complication described as protrusion of the laryngeal ventricle following nasotracheal intubation is reported. The clinical presentation and a rationale for the treatment plan are discussed.
Child↗
Hearing impaired clinic--a one-year survey.
The Hearing Impaired Clinic was established at Children's Hospital Medical Center in Cincinnati for the purpose of integrating a multifaceted effort of habilitation of the child with a hearing impairment. This article discusses the rationale for such a clinic and presents the data obtained from the first year that the clinic was functioning. Details of audiological and otological evaluations indicate that there is still a significant delay in the habilitation of these children that could be countered by a greater awareness of the significance of hearing loss in the young child.
Adolescent↗