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Biomedical subjects

M Bassila

Publications and source records attributed to M Bassila.

5 recordsLinked to original sources

Selection of pediatric patients for use of the Passy-Muir valve for speech production.

A potential side effect of tracheotomy in the pediatric population is poor speech development. It has been well documented that children with tracheotomies have delays in expressive and receptive language out of proportion to the child's degree of intellectual functioning. While numerous methods of augmentative devices have been proposed, none are ideal for the child with a tracheotomy. Of the choices available, the Passy-Muir valve is best suited for use in the pediatric population. We present a method of selection of patients for Passy-Muir valve placement currently in use at Blythedale Children's Hospital. The criteria employed include measurement of trans-tracheal pressures. This has not previously been presented in the literature, but has been found to be of significant value in determining who will benefit most from Passy-Muir valve placement.

Adolescent↗

Problems in postoperative management after anterior cricoid split.

OBJECTIVE: Describe complications and postoperative management problems associated with the anterior cricoid split. DESIGN: Retrospective case series. SETTING: Urban referral hospital. PATIENTS: Nine consecutive patients with acquired subglottic stenosis believed amenable to the anterior cricoid split. INTERVENTION: The anterior cricoid split was performed on 10 occasions between June 1989 and June 1992. MAIN OUTCOME MEASURE: Extubation or decannulation. RESULTS: Six of nine patients underwent decannulation, with success. Management problems included those related to surgery or postoperative endotracheal stenting, preexisting medical conditions, and postoperative sedation requirement. CONCLUSIONS: The number of postoperative complications and management problems was highest in those patients with both bronchopulmonary dysplasia and preexisting tracheotomy.

Bacterial Infections↗

An enteric duplication cyst occurring in the anterior two-thirds of the tongue.

Enteric duplication cysts are cysts that are attached to the alimentary tract and that are lined by some type of gastrointestinal mucosa. Such cysts are especially rare when found in the oral cavity. We report the case of an 8-month-old female with an unusual duplication cyst in the anterior two-thirds of the tongue. Eighteen cases of intraoral cysts have been previously reported in the literature, this one being the 7th case of a true duplication cyst of the anterior two-thirds of the tongue which contains gastric mucosa. The case presents many aspects of the diagnosis and management of this unusual lesion. The literature and present etiological theories are discussed.

Cysts↗

Adipose plug myringoplasty: an alternative to formal myringoplasty techniques in children.

Adipose myringoplasty is presented as a simple and cost-effective technique in managing small tympanic membrane perforations in children. A review of 76 fat plug myringoplasties performed on 62 children with drum perforations over a 15-year period was done. Fifty-nine myringoplasties were postinflammatory and/or after extrusion of pressure-equalizing (PE) tubes. Sixteen were residual perforations following temporalis fascia tympanoplasty, and one was posttraumatic perforation. Criteria for selection, operative technique, and results are discussed.

Adipose Tissue↗