Biomedical subjects
Publications and source records attributed to J L Guarisco.
Occasionally severe esophageal strictures will develop in children that will not allow the passage of standard Jackson or bougie dilators. These small strictures can be successfully treated using a standard intubating laryngoscope for visualization and Rush urethral Filiform dilators.
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Epistaxis in children is a common disorder that is usually due to local irritation in Kiesselbach's area. The most common disorders underlying epistaxis are local inflammatory diseases, infections, and trauma. Other diagnoses, including sinus and nasopharyngeal abnormalities, must be considered systematically. Epistaxis also may be the initial sign of serious systemic illness. Most children can be treated effectively with simple pressure to the alae and septum. Refractory bleeds may require progressively more aggressive measures. Recurrences usually are prevented with medical management control of the local or systemic problem, but excessively frequent recurrences may require surgical correction.
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Isolated uvulitis is a rarely reported disease. Known etiologies include bacterial infection and trauma following the use of instrumentation in the airway. Three cases of isolated uvulitis secondary to heavy marijuana smoke inhalation are reported. Specific recommendations regarding diagnosis and treatment of this disorder are made.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Recurrent epistaxis can be a serious problem in children with coagulation disorders. We present a case of severe, recurrent nosebleeds in a 3-year-10-month-old boy with Glanzmann's thrombasthenia. The nature of Glanzmann's disease and medical treatment of epistaxis in children is reviewed. A method of controlling recurrent epistaxis with a very simple and limited septoplasty is described. This technique should be applicable to patients with recurrent nosebleeds and other more common coagulation disorders.