Surgical excision is the treatment of choice of NTM adenitis because of the high cure rate with a single procedure, the excellent cosmetic result, and the low complication rate. NTM skin tests are safe and could be useful in early diagnosis of the infection but further investigation is needed.
To compare hyaluronic acid fat graft myringoplasty (HAFGM) with fat graft myringoplasty (FGM) on grade I tympanic membrane perforations (TMPs) (Ͻ25% of the tympanic membrane surface) and to assess 12-month postoperative hearing outcomes in a pediatric population.
Insertion of an SAT is a safe and effective method for long-term middle ear ventilation in recurrent or refractory OM, adhesive OM, and retracted tympanic membrane. Associated with fewer complications, SATs offer an alternative to repeated use of the short-term TTTs without damaging the tympanic membrane.
Objective: To determine the impact of a provincial choking prevention program (CPP) on the incidence of aerodigestive foreign body cases among children. Methods: The CPP, including posters, pamphlets, an informative video, and annual participation in the Parents &C Kids Fair, was launched throughout Quebec in October 1999. The incidence rates of aerodigestive foreign body cases prior to implementation (during 1997-1998) and subsequently (2000-2002) within the province and our tertiary care centre (Sainte-Justine Hospital) were compared by estimating incidence rate ratios (IRRs) and associated 95% confidence intervals (95% CIs). Results: No significant changes in the incidence of aerodigestive foreign body cases after program implementation were observed in our hospital (age-adjusted IRR 0.92, 95% CI 0,79-1,07). The provincial rates were higher after program implementation (age-adjusted IRR 1.15, 95% CI 1.05-1.25), Conclusions: To influence choking prevention habits, modifications to the campaign are required. Strategies are discussed.
SommaireObjectif: Determiner l'impact d'un programme provincial de prevention des etouffements (CPP) sur l'incidence de cas de corps etrangers des voies aero-digestives superieures chez les enfants. Methodes: Le CPP, qui incluait des affiches, des depliants, une video informative, ainsi qu'une participation annuelle au Salon Maternite Paternite Enfants, a ete lance a travers la province de Quebec en octobre 1999. Les incidences de corps etrangers des voies aero-digestives superieures avant (1997-1998) et apres (2000-2002) implantation, dans notre centre hospitalier tertiaire (Hopital Sainte-Justine) et dans la province, ont ete comparees en estimant le ratio des incidences (IRR) et l'intervalle de confiance associe de 95% intervalle de confiance (95% CI), Resultats: Aucun changement significatif dans l'incidence de cas de corps etrangers des voies aero-digestives superieures apres implantation du CPP n'a ete observe dans notre hopital (IRR ajuste pour l'age 0.92, 95% CI 0.79-1.07). Le taux provincial etait superieur apres l'implantation du programme (IRR ajuste pour l'age 1.15, 95% CI 1.05-1.25). Conclusions: Afin de mieux influencer les habitudes de prevention des etouffements, des modifications a notre campagne seront necessaires. Nos strategies sont expliquees.
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