2015 HSC Section 1 Book of Articles

Rosenfeld RM, Schwartz SR, Pynnonen MA, et al. Clinical practice guideline: tympanostomy tubes in children. Otolaryngol Head Neck Surg . 2013; 149(1S):S1-S35. EBM level 1..............................................................................................................170-204 Summary: Rosenfeld et al provide an excellent, state-of-the-art review and clinical practice guideline regarding tympanostomy tubes in children that makes very clear recommendations for this extremely common surgical procedure.

Semenov YR, Yeh ST, Seshamani M, et al. Age-dependent cost-utility of pediatric cochlear implantation. Ear Hear . 2013; 34(4):402-412. EBM level 2..................205-215

Summary: An excellent, multi-center NIH funded study yielded this analysis of the effect of age at the time of cochlear implantation on educational placement, quality of life, and cost to society amongst many other findings. Early implantation (patient age <18 months) is shown to be clearly beneficial to individuals and society. Some barriers to early implantation are exposed along with the difficulties in overcoming these barriers. Head and Neck Collins B, Stoner JA, Digoy GP. Benefits of ultrasound vs. computed tomography in the diagnosis of pediatric lateral neck abscesses. Int J Pediatr Otorhinolaryngol . 2014; 78(3):423-426. EBM level 4....................................................................................216-219 Summary: This article investigates the utility of ultrasound vs computed tomography (CT) in the diagnosis of pediatric lateral neck abscesses. This retrospective study compares ultrasound and CT accuracy to diagnose lateral neck abscesses which were confirmed by incision and drainage procedures. Ultrasound imaging was found to have similar sensitivity and positive predictive value and higher specificity as compared to CT imaging for the diagnosis of lateral neck abscesses. Drolet BA, Frommelt PC, Chamlin SL, et al. Initiation and use of propranolol for infantile hemangioma: report of a consensus conference. Pediatrics . 2013; 131(1):128- 140. EBM level 2.....................................................................................................220-232 Summary: This article summarizes the report of the multidisciplinary consensus conference on the initiation and use of propranolol for infantile hemangiomas (IH). The pharmacologic properties and adverse events of propranolol in the pediatric population were reviewed. Recommendations were made regarding when to treat IH; contraindications to treatment with propranolol; pretreatment ECG; propranolol use in PHACE syndrome; formulation, target dose, and frequency of propranolol; initiation of propranolol; and monitoring during treatment.

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