revision endoscopic sinus surgery in children

... (AAO/HNS) Clinical practice guideline on adult sinusitis Rosenfeld RM Otolaryngology-Head and Neck Surgery (2007) 137, 365-377 Definition of rhinosinusitis • Rhinosinusitis – The term rhinosinusitis ... Sinus Anatomy Review Paranasal Sinuses Paranasal Sinuses Sinus CT scan (coronal cut) Sinus CT scan (axial cut) Objectives • • • • Define chronic rhinosinusitis (CRS) Review ... drainage of the affected sinus • Intraoperative image guidance may be used – revision sinus surgery – diffuse nasal polyposis – abnormal anatomy Surgical management • Minimally invasive sinus surgery...

Ngày tải lên: 16/03/2014, 14:20

... cavity right opacified sinus and sinus with medial Figure showing right nasal CT scan showing right opacified maxillary sinus with medial bulging causing expansion of the sinus and obstruction ... Medicine 2006, 2:29 cause remains uncertain The diagnosis is usually made by CT imaging of the paranasal sinuses Endoscopic sinus surgery is an effective treatment modality for maxillary sinus ... obstructed causing the expansion of the sinuses (Fig 1, 2, 3) There was bulging of the medial wall of the maxillary sinus in three patients, eroding the superior wall and bulging into the orbit in one...

Ngày tải lên: 11/08/2014, 23:22

... syndrome Dopamine directly inhibits anterior pituitary function through inhibitory dopamine receptors, resulting in diminished TSH release [71] The intravenous administration of dopamine in healthy ... within 20 minutes after dopamine withdrawal [45] Thus, dopamine infusion induces or aggravates partial hypopituitarism and SES in critically ill infants and children Iodinated antiseptics in cardiac ... Mainwaring RD, Nelson JC: Supplementation of thyroid hormone in children undergoing cardiac surgery Cardiol Young 2002, 12:211-217 Goldsmith PC, Cronin MJ, Weiner RI: Dopamine receptor sites in...

Ngày tải lên: 12/08/2014, 23:23

... AKI, defined as a 50% or greater increase in serum creatinine from baseline within days Other variables obtained included age, sex, ethnic origin, CPB time, previous heart surgery, urine output, ... demonstrated that inflammatory cytokines increase early after AKI as serum interleukin-6 (IL-6) and keratinocyte-derived cytokine (KC, the murine analogue of interleukin-8) were increased by hours ... consecutive children undergoing CPB surgery were considered for study; 29 were excluded for nephrotoxin use Acute kidney injury (AKI) was defined by a 50% or greater increase in serum creatinine within...

Ngày tải lên: 13/08/2014, 16:21

... placed in -80°C freezer until analysis All samples were analyzed within 15 months of initial collection Urine creatinine and cytokine measurement in patients Urine creatinine was determined using ... cisplatin-induced AKI (A) Serum creatinine and (B) BUN increase on Day in mice with cisplatin-induced AKI Serum creatinine and BUN were determined on Days 1, and after vehicle or cisplatin injection ... Circulating IL-6 appears in the urine in ischemic AKI in mice To further test the hypothesis that circulating IL-6 is filtered and appears in the urine during AKI, we examined the fate of recombinant...

Ngày tải lên: 13/08/2014, 21:21

... obstruction 1.4.1 Indication of pyeloplasty surgery ureteropelvic junction obstruction in children treatment for - With clinical symptoms: abdominal pain, possible neprauxe touching, urinary infection ... junction obstruction 1.3.1 Clinical characteristics: in children, the symptoms are usually poor, may have abdominal pain, urinary infection, possible neprauxe touching 1.3.2 Imaging diagnosis methodologies ... disease in the birth defects causing hydronephrosis in children By the advancement of prenatal diagnosis, the disease is increasingly being diagnosed and early treated Anderson-Hynes surgery is a surgery...

Ngày tải lên: 10/06/2016, 10:39

Ngày tải lên: 02/08/2013, 01:27

... lacking in co-operation for instrumented gait analysis using current techniques Managing spasticity in children In our preliminary open label study into the use of BoNT-A in the lower limbs of children ... tissue to stretching forces Many clinicians combine casting with intramuscular injections of botulinum toxin It is still unclear as to whether the combined effect of injection and casting may be better ... Care must be taken in following the dosage guidelines of clinical papers We follow empirical guidelines established by trial and error in toxin administration including the following: Maximum dose...

Ngày tải lên: 01/11/2013, 10:20

... Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom 3.2 Refractory or non-responsive CD [51-78] Patients in whom standard induction therapy including ... specific indications Infliximab if fails, Adalimumab, cyclosporine, thalidomide 13 Guidelines for the Management of Inflammatory Bowel Disease (IBD) in Children in the United Kingdom 3.4 Maintenance ... gastrointestinal), or by pattern of disease (inflammatory, fistulating, or stricturing) These variables have been combined in the Montreal classification [5] About 10% of children with IBD affecting...

Ngày tải lên: 12/02/2014, 11:20

... national guideline in individual practices, clinics and hospitals and for securing compliance with them This may be done by a variety of means including patient-specific reminders, continuing education ... and training, and clinical audit SIGN consents to the copying of this guideline for the purpose of producing local guidelines for use in Scotland STATEMENT OF INTENT This report is not intended ... in this guideline, as studies have shown this to be a factor.115 Some sugar-free medicines cost more than those containing sugar Increased prescribing of sugar-free medicines will initially increase...

Ngày tải lên: 12/02/2014, 11:20

... Occasional abdominal pain, difficulty gaining weight and height Prior history of anemia Difficulty gaining weight and height Prior history of anemia Frequent abdominal pain, difficulty gaining weight ... covering socioeconomic and demographic aspects as well as complaints related to celiac disease (abnormal intestinal rhythm, abdominal pains, flatulence, recurrent aphthous ulcers, difficulty gaining ... by permanent gluten intolerance in people who are genetically susceptible Gluten provokes an inflammatory reaction that damages the villi in the small intestine, causing an inadequate absorption...

Ngày tải lên: 12/02/2014, 19:20

... rash and itching may occur; the skin may become scaly; the skin may heal by scarring; hair loss may accompany the skin injury Look for dry eyes: no tears, constant rubbing and blinking; sensitivity ... produce additional proinflammatory cytokines, including tumor necrosis fac­ tor (TNF)-α, interferon (IFN)-γ, and interleukin (IL)-2, which in turn attract more T-cells to continue the cycle of tissue ... Consensus recom­ mends a system for scoring chronic GVHD manifestations in organs and sites, including the skin, mouth, eyes, gastro­ intestinal tract, liver, lungs, joints and fascia, genital tract,...

Ngày tải lên: 12/02/2014, 19:20

... 27 grams of protein a day before starting dialysis 60 × 0.45 = 27 Limiting a child to this amount may be difficult because some foods contain that much protein in a single serving You may need ... discuss any changing needs with your child’s health care team Protein Protein is an essential part of any diet It helps build and maintain muscle, bone, skin, organs, and blood Some proteins help fight ... content of potatoes and beans by soaking them in water for several hours before cooking Phosphorus is a mineral found in many foods, particularly those high in protein When your child’s blood phosphorus...

Ngày tải lên: 12/02/2014, 19:20

... Mini-symposium: interstitial lung diseases in children Paediatr Respir Rev 2004;5:93 20 Dinwiddie R, Sharief N, Crawford O Idiopathic interstitial pneumonitis in children: a national survey in ... choose an invasive examination method, we fundamental when dealing with chronic patients indicated lung biopsy, since it offers more objective informa- Epidemiological research into interstitial ... patients Wheezing is less common but of ILD in children and, in our hospital, became available only it was observed in 11 patients in 1997 As a result, in five cases HRCT scans were not In the 13...

Ngày tải lên: 12/02/2014, 19:20

... cardiac surgery/ interventions (including ablations) Group Patients after cardiac surgery/ interventions (including ablations) 1.1 Without remaining findings (complete correction) 1.2 With minimal findings ... hemodynamic findings Exercise echocardiography Cardiac function and hemodynamic findings under exertion BOX Findings after cardiac surgery and/or interventions Minor remaining findings (1.2) – ... defects requiring surgery No sports A No (remaining) cardiac defects 1.1 Unlimited B Mild (remaining) findings 1.2; 2.1; 2.2; 2.3; 2.4; 4.2 Unlimited C Clinically significant (remaining findings) 1.3;...

Ngày tải lên: 12/02/2014, 19:20

... reduced in 64% of the children with SCD-SS (Lal, Fung, Pakbaz, Hackney-Stephens, & Vichinsky, 2006) This finding was associated with deficient calcium intake and low serum vitamin D levels in children ... study examining vitamin A status in children with SCD-SS revealed that the mean serum retinol level was suboptimal in 66% of the children (Schall, Zemel, Kawchak, Ohene-Frempong, & Stallings, 2004) ... studies examining vitamin D, vitamin A, and zinc status suggest that increased nutritional demands are likely contributing factors to the micronutrient deficiencies seen in SCD-SS Affected children...

Ngày tải lên: 12/02/2014, 19:20

... vaccines on LRIs Hib Vaccine Currently three Hib conjugate vaccines are available for use in infants and young children The efficacy of Hib vaccine in preventing invasive disease (mainly meningitis, ... of vaccine Consequently, all industrialized countries include Hib vaccine in their national immunization programs, resulting in the virtual elimination of Acute Respiratory Infections in Children ... others 2003) In the United States, the 7-PCV was included in routine vaccinations of infants and children under two in 2000 By 2001 the incidence of all invasive pneumococcal disease in this age...

Ngày tải lên: 12/02/2014, 19:20

... The Royal Children s Hospital Clinical Practice Guidelines combines advice for “rhinosinusitis”, defined as “inflammation of the epithelial lining in the paranasal sinuses” and noting that this ... Guidelines Clearinghouse Cincinnati Children' s Hospital Medical Center Evidence-based care guideline for management of acute bacterial sinusitis in children 1-18 years of age Cincinnati (OH): Cincinnati ... Management of rhinosinusitis in children Int J Pediatr Otorhinolaryngol 1999 Oct 5;49 Suppl 1:S95-100) The role of rhinitis in asthma has also been the subject of intense scrutiny.43 In terms of...

Ngày tải lên: 19/02/2014, 08:20

... and clinical examination) using botulinum toxin injections have been reported, but evidence is limited regarding the effect of botulinum toxin treatment on the development of bony deformity In a ... interventions, including sitting supports and custom seating, spinal orthoses, and functional strengthening programs may be useful to improve sitting balance and functional independence [47–50] In myelodysplasia, ... decreased internal hip rotation at initial contact, toe-off, and mid-swing in children who had undergone multilevel botulinum A treatments Botulinum injections were started at a young age and combined...

Ngày tải lên: 05/03/2014, 10:20

... a starting point The Self Care scale included items such as combing hair, washing oneself, and putting on clothes The mobility scale included items such as moving inside the house, climbing stairs, ... Erasmus MC) Total Including patients from Belgium; 2including patient from New Zealand; 3including patient from Denmark, patients from Switzerland and from Austria; 4including patient from Taiwan; ... frequent mutation in glycogen storage disease type II Biochem Biophys Res Commun 1994;203(3):1535-1541 Shieh JJ, Wang LY, Lin CY Point mutation in Pompe disease in Chinese J Inherit Metab Dis...

Ngày tải lên: 05/03/2014, 10:20