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Biomedical subjects

Anthony Magit

Publications and source records attributed to Anthony Magit.

5 recordsLinked to original sources

Magnetic nasal foreign bodies in a 9-year-old male: opposites attract when it comes to nasal foreign bodies.

We report the case of a 9-year-old male who developed nasal ulcerations from magnets which were placed in his nose, and became attracted to each other across the nasal septum. The magnets came from a non-penetrating earring. Normally harmless, but when attracted to each other magnets can cause ulcerations and possibly perforation of the nasal septum and should be removed urgently whenever encountered.

Child↗

Congenital stridor secondary to an upper airway cyst in a patient with Ellis-van Creveld syndrome.

We report the occurrence of a pyriform sinus cyst in a patient with Ellis-van Crevald syndrome. The patient presented with congenital stridor. The cyst was drained but recurred. MRI scanning revealed extensive involvement in the neck. Marsupialization and CO2 laser ablation of the lesion was successful, and the patient remained free of symptoms. Although oral lesions have been described in association with this syndrome, to our knowledge this is the first case report of an upper airway cyst in a patient with the Ellis-van Crevald syndrome.

Airway Obstruction↗

Pediatric total tonsillectomy using coblation compared to conventional electrosurgery: a prospective, controlled single-blind study.

OBJECTIVE: Postoperative recovery after tonsillectomy using Coblation excision (CES) was compared with conventional electrosurgery (ES). STUDY DESIGN AND SETTING: Patients aged 3 to 12 years from 3 clinical sites were randomly assigned and blinded to receive tonsillectomy using CES (n = 44) or ES (n = 45). RESULTS: Operative parameters did not differ between groups. Return to normal diet, activity, and pain-free status were similar, although fewer CES patients contacted the physician regarding postoperative complications (33% vs 54%; p = 0.081), experienced nausea (35% vs 62%, p = 0.013), or had localized site-specific swelling (p < 0.05) during the 2 weeks after surgery. In addition, CES children tended to discontinue prescription narcotics 1 day earlier than ES patients (7 vs 8 days, p = 0.071) and took one half as many daily doses. More CES than ES parents rated the postoperative experience as 'better than expected' (79% vs 60%, p = 0.055). CONCLUSION AND SIGNIFICANCE: Children who received CES tonsillectomy appeared to experience a better quality postoperative course, with no detriment to operative benefits of conventional electrosurgery.

Child↗

Neonatal dermoid cyst of the floor of the mouth extending to the midline neck.

We describe a male neonate who presented at birth with a compressible dermoid cyst that extended from the floor of the mouth to the midline of the neck. Ultrasonography revealed a fluid-filled sublingual mass. Magnetic resonance imaging performed when the patient was 1 week old demonstrated a 2-cm, cystic, left-sided, sublingual mass that crossed the midline without extension inferior to the mylohyoid muscle. At 3 months of age, the patient developed a 1-cm, solid, submental mass. At the time of surgery, the lesion had a fibromembranous tract that extended through the myolohyoid muscle to a 1-cm cyst in the submental region. Histologic sections depicted 2 dermoid cysts and a connecting fistula. This case represents the first report (to our knowledge) of a dermoid cyst presenting in a neonate as a mass in the floor of the mouth with extension to the midline of the neck.

Dermoid Cyst↗

Surgical strategies in the treatment of complex obstructive sleep apnoea in children.

Complex OSA in children is a challenging problem that requires careful team management. Evaluation includes history, physical examination and appropriate radiological and endoscopic studies. Twelve-channel polysomnography, with or without a pH probe, is mandatory in children with OSA to determine the severity and to document the efficacy of treatment. A variety of individual problems and nuances arise and will continue to do so. Clinical experience and a high degree of suspicion in the craniofacial population is necessary to rule out the existence of OSA in a given patient. Newer treatment modalities, such as distraction osteogenesis of the mandible and midface, have revolutionised treatment of OSA during childhood. Although still the gold standard of care, tracheostomy is not a benign procedure and the toll on both the patient and family can be devastating.

Cerebral Palsy↗