September 2019 HSC Section 1 Congenital and Pediatric Problems

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Laryngology Cole E, Dreyzin A, Shaffer AD, et al. Outcomes and swallowing evaluations after injection laryngoplasty for type I laryngeal cleft: does age matter? Int J Pediatr Otorhinolaryngol . 2018; 115:10-18. EBM level 4...............................................................................................................23-31 Summary : This retrospective review on injection laryngoplasty in pediatric patients noted that age was not a factor in outcomes of patients’ post-injection. Further study would be needed on the role of modified barium swallows versus functional endoscopic swallow evaluations. Pullens B, Hakkesteegt M, Hoeve H, et al. Voice outcome and voice-related quality of life after surgery for pediatric laryngotracheal stenosis. Laryngoscope . 2017; 127(7):1707-1711. EBM level 2............................................................................................................................................32-36 Summary : The paper is a prospective cohort study of patients who have had open airway surgery in the past. The study reports significant voice issues postoperatively, especially in those patients who had glottic involvement of the stenosis. Summary : The article studies children who have had swallow studies and highlights silent aspiration as being more present, potentially even in the absence of a cough. The article emphasizes the role of modified barium studies in the management of these patients. Yeung JC, Balakrishnan K, Cheng ATL, et al. International Pediatric Otolaryngology Group: consensus guidelines on the diagnosis and management of type I laryngeal clefts. Int J Pediatr Otorhinolaryngol . 2017; 101:51-56. EBM level 3......................................................................43-48 Summary : Consensus guideline on the diagnostic workup, medical management, and preoperative, intraoperative, and postoperative considerations for type I laryngeal cleft, based on existing published evidence and literature. Facial Plastics and Trauma Buchanan EP, Xue AS, Hollier LH Jr. Craniofacial syndromes. Plast Reconstr Surg . 2014; 134(1):128e-153e. EBM level 4...................................................................................................49-74 Summary : This comprehensive review of craniofacial syndromes will help develop an understanding of the most common craniofacial anomalies, determine the appropriate surgical plan, and review the most common surgical complications. This is a review article that has ample clinical pictures, 3D reconstructed CT images, and diagrams. Listed here are the most common syndromes that all otolaryngologists should be familiar with. This is a review article and there is certainly the chance of bias. Velayutham P, Irace AL, Kawai K, et al. Silent aspiration: who is at risk? Laryngoscope . 2018; 128(8):1952-1957. EBM level 4...................................................................................................37-42

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