Biomedical subjects

A J Guerguerian

Publications and source records attributed to A J Guerguerian.

4 recordsLinked to original sources

PubMed1984

Post-myringotomy care: a prospective study.

Children with tympanostomy tubes have always been considered somewhat handicapped in regard to swimming and bathing. Their parents had to maintain constant surveillance to prevent then from getting water in their ears. A prospective study involving more than 1,000 children was conducted between June 1981 and August 1982 on two groups of randomly selected patients to determine the prevalence of suppurative otitis media and its relationship to bathing and swimming. One group had to follow strict rules to prevent water entering the ear (bathing caps, earplugs) whereas the other group was allowed to bathe and swim without any precaution upon the condition of using a polymyxin B/gramicidin ear drop combination at bedtime on the day they swam. The study shows no increase in prevalence of suppurative otitis media in the "open canal" group as compared to the "closed canal" group. Furthermore, the monthly distribution of infections shows a relatively evan distribution throughout the year. This study implies that swimming and bathing are safe for the vast majority of children with tympanostomy tubes and thus simplifies enormously the post-myringotomy care for the child, the parents, and the physician.

Baths↗

PubMed1982

Meningitis and congenital fistula of the internal ear.

Congenital CSF otorrhea is seldom the cause of meningitis but has to be looked for especially if associated with a dead ear or with recurrent meningitis. Polytomograms of the mastoids are essential to rule out any abnormality of the internal ear. Three patients with a congenital CSF otorrhea and associated meningitis are reviewed. They all presented a Mondini type of dysplasia and had an oval window fistula. They were treated successfully with fascia and muscle obliteration of the vestibule.

Adolescent↗

PubMed1980

[Facial paralysis in children--study of 99 cases].

Ninety-nine cases of peripheral facial paralysis in children treated at Ste. Justine's Hospital over a 10 year period were reviewed. Sexes were nearly equally affected with a slightly higher incidence in female. Cases were distributed quite evenly throughout childhood except for a definitely higher incidence in the 0--2 year old group. Trauma, Bell's palsy, and otomastoid inflammation were found to be the most frequent causes of facial palsy in that group of cases. Cases of otomastoid inflammation did generally well on antibiotics and nearly 70 per cent so recovered completely. Twenty per cent only had to undergo simple mastoidectomy and two cases a decompression. Out of 25 cases of Bell's palsy, 18 recovered totally without surgery and four were decompressed with total or partial recovery. Following this study, the need for a more complete evaluation and somewhat more standardized treatment became obvious. This may permit in the future a more adequate knowledge of the problem and likely a better management.

Adolescent↗

PubMedDate not supplied

[Corrosive esophagitis in children (author's transl)].

The treatment of corrosive esophagitis in children remains a controversial subject. A review of the literature and the various forms of treatment is presented with a retrospective study done a the Ste-Justine Hospital in Montreal. We studied the charts (327) of patients hospitalized for ingestion of corrosive substances for the period extending between 1970 to 1976 inclusively. The mean age of the patients involved was 2 years 4 months with a slight male predominance (60%). Javel water, sodium hydroxide, Chlorine, ammoniac and different acids were, in this order, the agents most frequently encountered. Esophageal burns proven by endoscopy was noted in 81 cases. Even in the absence of oropharyngeal burns, esophageal involvement was still present in 46% of cases. The low incidence of stenosis (9%) tends to confirm the beneficial role of steroids in the treatment of corrosive esophagitis. This is particularly true for 1st and 2nd degree burns whereas their administration in severe 3rd degree burn remains controversial.

Burns, Chemical↗