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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.

VI.

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.