2015 HSC Section 1 Book of Articles

TABLE OF CONTENTS

Section 1 September 2015 CONGENITAL AND PEDIATRIC PROBLEMS SELECTED RECENT MATERIALS—REPRODUCED IN THIS STUDY GUIDE

ADDITIONAL REFERENCE MATERIAL ...................................................................................... i - iii

I.

Airway, Bronchoesophagology, and Laryngology Kim IA, Shapiro N, Bhattacharyya N. The national cost burden of bronchial foreign body aspiration in children. Laryngoscope . 2014 Nov 1. doi:10.1002/lary.25002. (Epub ahead of print). EBM level 2c.........................................................................................1-4 Summary: This article provides a national perspective on foreign-body aspirations during the period of 2009-2011 using a publicly available database that samples a wide range of hospitals in the United States. The study presents descriptive statistics regarding the significant public health impact of this potentially fatal problem. Kozin ED, Cummings BM, Rogers DJ, et al. Systemwide change of sedation wean protocol following pediatric laryngotracheal reconstruction. JAMA Otolaryngol Head Neck Surg . 2015; 141(1):27-33. EBM level 2..............................................................5-11 Summary: This article describes the experience of implementing a defined quality- improvement strategy with a goal of decreasing variation and ultimately duration of sedation weaning after open airway reconstructive procedures. The study delivers interesting data regarding how the duration of sedation has improved after the introduction of the protocol as well as a framework for other quality improvement projects. Nardone HC, Recko T, Huang L, Nuss RC. A retrospective review of the progression of pediatric vocal fold nodules. JAMA Otolaryngol Head Neck Surg . 2014; 140(3):233- 236. EBM level 4.........................................................................................................12-15 Summary: This article reviews the progression of vocal fold nodules followed in a pediatric voice clinic with a goal of determining the change in size based on initial grade, various management strategies, and age. The authors conclude that directed speech therapy or surgery is associated with a greater rate of decreasing size in high- grade nodules than observation or behavioral modification alone.