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We found 12 results for Texas Children\'s Hospital in video, webinar & Other

video (10)

Choanal Atresia Repair
video

Contributor: Tyler McElwee Choanal atresia describes the congenital narrowing of the back of the nasal cavity that causes difficulty breathing in neonate. Choanal atresia is often associated with CHARGE, Treacher Collins and Tessier Syndrome. It is a rare condition that occurs in 1:7000 live births, seen in females twice as often as males, and affects bilaterally in roughly 50% of cases.  Bilateral choanal atresia is usually repaired in the newborn period. Unilateral CA repair is often deferred until age 2-3 years. Stent placement has become optional as stentless repair is gaining popularity because this technique decreases foreign body reaction in the nasopharynx which in term decreases granulation formation.  Transnasal endoscopic choanal atresia repair is performed by opening the atresia bilaterally, drilling out pterygoid bone as needed, and removal of the posterior septum and vomer. Normal mucosa is preserved as much as possible by elevating a lateral based mucosal flap to prevent scarring and restenosis. Postoperatively, these patients are treated with antibiotic, reflux medications and steroid nasal drops; a second look procedure is planned 4-6 weeks postop for debridement and possible removal of granulation tissue & scar. DOI: http://dx.doi.org/10.17797/9s5ty2f7yv Editor Recruited By: Sanjay Parikh, MD, FACS

Bilateral Dacryocystoceles Resection
video

Contributor: Tyler McElwee Congenital dacryocystocele describe the distended lacrimal sac in neonates with or without associated intranasal cyst.  The prevalence is about 0.1% of infants with congenital nasolacrimal duct obstruction and a slight prevalence in female infants.  It refers to cystic distention of the lacrimal sac as a consequence of the nasolacrimal drainage system obstruction.  It typically presents as a bluish swelling inferomedial to the medial canthus in the neonates.  Unilateral congenital dacryocystocele is more common but 12-25% of patients affected have bilateral lesions.  Ultrasound, CT scan or MRI can be used for diagnosis.  About half of the patient with acute dacryocystitis can be management with conservative management such as digital massage of lacrimal sac or in-office lacrimal duct probing.  The other half of patients will require surgery under general anesthesia for removal of the dacryocystocele.   Endoscopic excision of the intranasal cysts has been used successfully as a treatment option with Crawford stent placement.  Post-operatively patients are treated empirically with antibiotics and nasal saline.  No second look is usually planned unless patients develop significant nasal obstrctuion. Editor Recruited By: Sanjay Parikh, MD, FACS DOI: http://dx.doi.org/10.17797/16rnuq8n0y

Endoscopic Tracheoesophageal Fistula Repair
video

Contributors: Noemie Rouillard-Bazinet, MD and Deepak Mehta, MD Endoscopic repair of tracheoesophageal fistula using electrocautery and fibrin glue. DOI: http://dx.doi.org/10.17797/uq9ifhudgd Editor Recruited By: Sanjay Parikh, MD, FACS

Posterior Cricoid Split and Costal Cartilage Grafting for Bilateral Vocal Fold Paralysis
video

Contributors: Noemie Rouillard-Bazinet and Julina Ongkasuwan Bilateral vocal fold paralysis causes airway obstruction and, in some patients, tracheostomy dependence. Posterior cricoid split with costal cartilage grafting can open the posterior glottis and improving the airway. DOI: http://dx.doi.org/10.17797/hyp0b3mzd5 Editor Recruited By: Michael M. Johns III, MD

Management of subglottic stenosis with endoscopic stent placement
video

History of airway stenosis, s/p laryngotracheal reconstruction. Developed restenosis, and balloon dilated three times.

In this video we describe our technique for airway stent insertion and its securing to the neck skin.

Balloon dilation of the airway expanded the airway to its appropriate size. After sizing, an 8mm modified Mehta laryngeal stent with rings (Hood Laboratories, Pembroke, Mass., USA)is inserted in the airway with laryngeal forceps. The scope is inserted into the stent to verify its position. Then a 2.0 prolene stitch is taken through the neck, trachea, stent, and taken out through the contralateral skin. This is performed under visualization with a 2.3mm endoscope through the stent. The needle is then re-inserted through the exit puncture and again taken out next to the entry puncture after passing through a subcutaneous tunnel, without re-entering the stent. A small skin incision is performed between the two prolene threads. Multiple knots are taken over an angiocath, which is then buried under the skin.

The stent is taken out 2-6 weeks after the procedure. A neck incision is performed, the angiocath is identified, the knot is cut and the stent is removed under the vision of the endoscope.

Treatment of Chronic Atelectatic Middle Ear with Endoscopic Placement of Cartilage Shield T-tube
video

Chronic tympanic membrane (TM) atelectasis is a difficult condition with many management challenges and currently has no acceptable gold standard treatment. TM atelectasis is the loss of the normal elasticity of the TM as a result of chronic negative pressure in the middle ear and can be associated with retraction pockets. The under-ventilation of the middle ear and TM retraction can cause ossicular erosion, hearing loss, or cholesteatoma formation. Atelectasis can be halted or reversed with placement of pressure equalization tube (PET). Cartilage tympanoplasty with or without PET has been reported as the preferred material likely due to its higher mechanical stability under negative pressure changes within the middle ear, in addition to its resistance to resorption. This video demonstrates the feasibility of a minimally invasive endoscopic approach of cartilage shield T-tube tympanoplasty as a treatment of chronic TM atelectasis.

Closure of H-type tracheoesophageal fistula
video

We present the case of a 20 months old boy with developmental delay and chromosomal abnormality, who presented with a history of chronic aspiration. He was found to have a laryngeal cleft, which was injected with Prolaryn, then formally repaired, twice. Despite an initial a negative swallow study, the patient had persistent aspiration. A repeat direct laryngoscopy and bronchoscopy finally revealed the presence of an H-type tracheoesophageal fistula (TEF). We describe here the steps of the surgical repair of an H-type tracheoesophageal fistula.

Base of Tongue Reduction: Endoscopic Approach vs. Transoral Robotic Surgical Approach
video

The video demonstrates successful endoscopic coblation of lingual tonsils and residual palatine tonsils as well as successful TORS reduction of obstructive base of tongue tissue.

Successful Placement of Transcutaneous Bone Anchored Hearing Aid in a Pediatric Patient
video

The Osia System is a transcutaneous bone anchored hearing aid which can be used for the correction of both conductive and sensorineural hearing loss. This video depicts the implantation of the Osia in a pediatric patient with a history of right-sided microtia.

Endoscopic Assisted Aural Atresia Repair
video

Congenital aural atresia (CAA) is a birth defect that describes both aplasia and hypoplasia or stenosis of the external auditory canal (EAC). CAA can be associated with microtia (malformation of the pinna), middle ear and occasionally inner ear malformations. Surgical correction of CAA is a very challenging operation and requires a thorough knowledge of the surgical anatomy of the facial nerve, middle and inner ears. Traditional post-auricular approach or transcanal approach with the help of a microscope usually provides adequate images needed for the procedure. Endosocpic ear surgery provides the advantage of visualization beyond the view provided by the microscope, further refinement of the surgical approach, precise assessment of the ossicular chain mobility and placement of ossicular chain prosthesis if necessary.

webinar (1)

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The Ins and Outs of Medical Research & Publication
webinar

The International Journal of Medical Students and CSurgeries have come together to provide and exclusive inside scoop on the world of medical publications. They will review how to properly research and submit an article along with selecting the best journal to publish through.

Francisco Javier Bonilla-Escobar, MD
Juliana Bonilla-Velez, MD

Editor in Chief
International Journal of Medical Students

Francisco is the Editor in Chief of the IJMS. He is a physician and has a master's in epidemiology from the Universidad del Valle (Colombia). He is currently finishing a PhD in Clinical Research and Translational Science at the University of Pittsburgh. He is also the CEO of the research foundation Science to Serve the Community, SCISCO (Colombia), and is an Assistant Professor at Universidad del Valle in Colombia teaching research to ophthalmology residents.

Francisco is a researcher of several groups in public health, ophthalmology and visual sciences, injuries, mental health, global surgery, and rehabilitation, and he was ranked as an Associate Researcher by the Colombian Ministry of Science, Innovation & Technology."

Pediatric Otolaryngologist / Assistant Professor
Seattle Children's Hospital / University of Washington

Dr. Bonilla-Velez is a pediatric otolaryngologist at Seattle Children's Hospital and an Assistant Professor in the Department of Otolaryngology - Head and Neck Surgery at the University of Washington. Originally from Cali, Colombia, Dr. Bonilla-Velez completed her medical school in the Universidad del Valle, Colombia. She then did a postdoctoral research year at Massachusetts Eye and Ear Infirmary, after which she started residency at the University of Arkansas for Medical Studies in Otolaryngology, Head and Neck Surgery before coming to Seattle Children’s for fellowship in pediatric otolaryngology. She also serves as a founding editor of the International Journal of Medical Students (IJMS).

Gresham Richter, MD, FACS, FAAP
Deepak Mehta, MD

Chief of Pediatric Otolaryngology / Professor and Vice Chair of Department of Otolaryngology-Head and Neck Surgery
University of Arkansas for Medical Sciences, Arkansas Children’s Hospital

Gresham Richter, MD, FACS, FAAP is a Professor, Vice Chair, and Chief of Pediatric Otolaryngology in the Department of Otolaryngology-Head and Neck Surgery at the University of Arkansas for Medical Sciences (UAMS) and Arkansas Children’s (AC). Dr. Richter received his undergraduate and medical degrees at the University of Colorado. He completed his residency in Otolaryngology at UAMS and a fellowship in Pediatric Otolaryngology at Cincinnati Children’s Hospital. He returned to Arkansas to join UAMS faculty and founded the Arkansas Vascular Biology Program, a robust laboratory at AC dedicated to understanding and discovering new therapies for complex vascular lesions. Outside of the hospital, Dr. Richter is an entrepreneur and CEO of GDT Innovations.

Professor of Otorhinolaryngology / Director, Pediatric Aerodigestive Center
Baylor College of Medicine / Texas Children's Hospital

Director, Pediatric Aerodigestive Center, Texas Children's Hospital | Professor of Otolaryngology, Baylor College of Medicine. Dr. Mehta's clinical interests are complex airway surgery, pediatric swallowing disorders and head and neck masses,along with general otolaryngology. His research interest includes outcomes of airway surgery, laryngeal cleft management and outcomes of sleep disorders.

Other (1)

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