Objectives: This article reports on a prospective controlled study that challenges the aspect of weight gain in posttonsillectomy patients in both an objective and subjective manner. This study found that although there is increased oral intake in post-tonsillectomy patients there is also an increase in physical activity. Design: Prospective case controlled study Participants: A total of 100 patients between the ages of 2 and 14 years who underwent tonsillectomy were randomly selected, but 53 of them came for regular follow-up and were monitored for their growth by measuring their height and weight for 1-year post-tonsillectomy. The postoperative body mass index (BMI) Z score variation over three different time points was compared to controls. Questionnaires were used as a subjective method for analysis. Results: Statistical analysis failed to show significant weight gain in post-tonsillectomy patients compared to control group at 3 months, 6 months, and 1 year. Results of questionnaires were analyzed and showed that patients who confirmed an increase in oral intake and sleep also confirmed an increase in the level of physical activity.
Here, we present a rare case of unilateral fibromatosis colli of the sternocleidomastoid in an infant with contralateral clavicle fracture after assisted vaginal delivery. We also try to reason that because of right sternocleidomastoid tension, the fracture in the right clavicle was avoided, and because of left-sided clavicle fracture, left sternocleidomastoid muscle did not form pseudotumor as there was release of tension in these muscle fibers after fracture.
Introduction: Here we report an unusual case of recurrent hair growth in Wharton's duct in an adult male and there by exploring possible cause of it. Observation: The patient presented with recurrent hair growth in the floor of the mouth. The hair growth occurred at the right submandibular duct opening on all occasions. The patient underwent CT scan of the salivary glands which showed one stone approximately 3mm at the site which was removed under local anesthesia. Commentary: Recurrent hair growth in the floor of the mouth is rare incident. Although multiple etiologies have been described in the literature, we initially thought of the retrograde theory as patient had beard but concluded that it could be due to heterotopia as to be the possible cause of it.
Epidermolysis bullosa (EB) is a rare condition which may present at birth or early infancy. These patients have a poor prognosis with high mortality rate. Tracheolaryngeal stenosis or stricture is the most significant ENT complication which may result in death from airway obstruction. We present a case of EB presenting with sudden onset airway obstruction, requiring immediate airway management. The epidemiology, pathogenesis and clinical presentation of this disease are discussed as well as the diagnosis and management. ENT surgeons as well as other health care providers must be aware of the potential risks to the airway in these patients.
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