2015 HSC Section 1 Book of Articles

Muntz HR. Management of sleep apnea in the cleft population. Curr Opin Otolaryngol Head Neck Surg . 2012; 20(6):518-521. EBM level 4................................................50-53

Summary: This article reviews the importance of the diagnosis and management of obstructive sleep apnea in children with facial clefting. Diagnostic work-up and potential interventions are discussed in detail. Commonly encountered clinical scenarios, including Pierre Robin sequence, post-VPI repair OSA, and midface hypoplasia are discussed as well as potential surgical treatment options for each. Okada H, Gosain AK. Current approaches to management of nonsyndromic craniosynostosis. Curr Opin Otolaryngol Head Neck Surg . 2012; 20(4):310-317. EBM level 4...........................................................................................................................54-61 Summary: This is a review article detailing the pathogenesis of non-syndromic craniosynostosis and the imaging necessary to accurately make the diagnosis. A review of the history of surgical repair options is included as well as descriptions for current surgical techniques. Advantages and limitations of different interventions are discussed in detail. Runyan CM, Uribe-Rivera A, Karlea A, et al. Cost analysis of mandibular distraction versus tracheostomy in neonates with Pierre Robin sequence. Otolaryngol Head Neck Surg . 2014; 151(5):811-818. EBM level 3.................................................................62-69 Summary: Several surgical options are available to treatment upper airway obstruction in neonates with Pierre Robin sequence. This article examines the cost of two of those surgical approaches, tracheotomy and mandibular distraction, in a study of 47 patients. The mandibular distraction groups appeared to have lower overall costs, despite having no difference in overall hospital stay length between the groups. Adenotonsillar Disease and Sleep Disorders Bedwell JR, Pierce M, Levy M, Shah RK. Ibuprofen with acetaminophen for postoperative pain control following tonsillectomy does not increase emergency department utilization. Otolaryngol Head Neck Surg . 2014; 151(6):963-966. EBM level 3...........................................................................................................................70-73 Summary: This is a retrospective case series of children who underwent tonsillectomy with or without adenoidectomy comparing pain control in patients who received acetaminophen with codeine vs. acetaminophen and ibuprofen. The proportion of patients requiring emergency department visits for inadequate pain management was not significantly different between groups on both bivariate and multivariate analysis controlling for age and antibiotic use.

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