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Sagi L, Eviatar E, Gottlieb P, Gavriel H. Quantitative evaluation of facial growth in children
after unilateral ESS for subperiosteal orbital abscess drainage.
Int J Pediatr
Otorhinolaryngol
. 2015; 79(5):690-693. EBM level 4.....................................................92-95
Summary
: Possible interference with facial growth has long been considered a possible
complication of pediatric endoscopic sinus surgery (ESS) since animal studies in piglets done
in the 1990s demonstrated fairly dramatic effects. Subsequent human studies have failed to
confirm that hypothetical concern, and this study adds to the body of evidence supporting the
safety of ESS by adding the unique study design of patients undergoing unilateral surgery for
subperiosteal orbital abscess, enabling them to serve as their own control.
Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and
management of acute bacterial sinusitis in children aged 1 to 18 years.
Pediatrics
. 2013;
132(1):e262-e280. EBM level 1.......................................................................................96-114
Summary
: Continuing the theme of credible best-practice guidelines, this updated guideline is
critical for providers who treat children with acute bacterial sinusitis. Changes in this
revision include the addition of a clinical presentation designated as “worsening course,” an
option to either treat immediately or observe children with persistent symptoms for 3 days
before treating, and a review of evidence indicating that imaging is not necessary in children
with uncomplicated acute bacterial sinusitis.
V.
Otology
Bergevin A, Zick CD, McVicar SB, Park AH. Cost-benefit analysis of targeted hearing
directed early testing for congenital cytomegalovirus infection.
Int J Pediatr
Otorhinolaryngol
. 2015; 79(12):2090-2093. EBM level 5...........................................115-118
Summary
: The authors present a cost-benefit analysis of early cytomegalovirus (CMV)
detection in Utah. They calculate the estimated costs of the early CMV detection program in
place in Utah, and compare that to the costs incurred by society in untreated hearing loss due
to CMV. They conclude that if antiviral therapies are used to mitigate hearing loss for one
infant per year, then the public savings offset the costs of the screening program and antiviral
therapy.
Duval M, Grimmer JF, Meier J, et al. The effect of age on pediatric tympanoplasty
outcomes: a comparison of preschool and older children.
Int J Pediatr Otorhinolaryngol
.
2015; 79(3):336-341. EBM level 4................................................................................119-124
Summary
:
T
his retrospective case series looks at the rate of residual perforation following
tympanoplasty in children in three different age groups (ages 2 to 4, 5 to 7, and 8 to 13 years).
They found that on multivariate analysis, preschool-aged children had a 5× increased
incidence of perforation when compared to the oldest children. This was mostly attributed to
reperforation from eustachian tube dysfunction or acute otitis media after initial successful
healing.