Obstructive sleep apnea is characterized by recurrent episodes of partial or complete obstruction of upper respiratory airways which appear during sleep and lead to the decrease of oxygen saturation and numerous awakenings. The symptomatology in pediatric obstructive sleep apnea is very different from the adult type in many aspects. The gold standard examination for diagnosis and evaluation of severity is polysomnography. The authors present their experience in the surgical tratament of children with obstructive sleep apnea. It is outlined a group of patient enrolled during a period of 5 years (2010-2014) who had their tonsils reduced through coblation and radiofrequency techniques.

Among retrolabyrinthine syndromes of tumoral etiology, acoustic neuroma ranks the most important place, being a benign tumor, but with malignant evolution. It is more common in women and occurs predominantly in the age range 20-60 years old. It is usually unilateral and only about 4% of cases are bilateral. Portmann et al, quoting Nager, say that certain peculiarities of the cranial nerve development explain the intracanalicular location of the neuroma at the beginning. Being a tumor with a very serious prognosis, acoustic neuroma needs to be diagnosed in very early stages, when it can be surgically removed.

During its millenary approximation of reality, of understanding and conquering nature, the human knowledge has operated successively with the notions and concepts of substance, energy and information as different properties of substance and objective reality. It is known that there are different qualitative levels of organization for information within which the nervous system represent the highest level of complexity. Information has various levels of organization and different structures in the same manner as substance has distinct levels of evolvement and progress. The authors present a literature review for the classification of the nervous system therapies through the tridimensional vision of substance, information and energy.

Pathology of tracheobronchial foreign bodies in children is a major emergency, because by their unpredictable evolution following mobilization, can cause sudden asphyxia. The most frequent location for airway foreign bodies is in the right primary bronchus, followed by the left primary bronchus and most rarely in the trachea. Sometimes in children, we can fi nd multiple airway foreign bodies. Very rare in children, we can fi nd airway foreign bodies with multiple location. The authors present a very rare case, unique in all pathology resolved along their quite vast experience – multiple foreign body with multiple location in the trachea, nose and cavum nasi in a child aged 1 year and 5 months.

Scopul lucrării. Autorii realizează un studiu clinico-statistic asupra cazurilor de corpi străini esofagieni la copil, cu referire particulară la cazurile de monede ingerate, internate şi rezolvate în secţia ORL a Spitalului Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, în perioada 01.01.2006 – 01.08.2007. Material şi metodă. Studiu retrospectiv, cu interpretarea şi coroborarea datelor clinice şi paraclinice obţinute în urma studiilor de caz. Rezultate. Din totalitatea cazurilor de corpi străini, monedele au deţinut cel mai mare procent; durata medie de spitalizare a fost de 2 zile; nu s-au înregistrat cazuri de complicaţii majore (perforaţii esofagiene, sângerare prin interceptarea unui vas mare, mediastinită); s-au consemnat şi situaţii particulare ce au necesitat o atenţie specială. Concluzii. Toate cazurile au fost abordate şi rezolvate prin endoscopie cu tub rigid; scurtarea intervalului de timp până la prezentarea la medicul ORL facilitează abordul terapeutic, scăzând dramatic riscul apariţiei complicaţiilor; examenul radiologic, deşi esenţial, poate oferi uneori informaţii incomplete, certitudinea diagnostică fi ind asigurată doar de examenul endoscopic.