Methods: The clinical charts were reviewed of all children with a Treacher Collins syndrome diagnosis receiving a Baha in the “”Bambino Gesu”" Children’s Hospital from January 1995 to January 2010. Data were collected concerning patients’ anagraphics and medical history, comorbidities,
surgical technique, complications and functional outcome.
Results: 23 Treacher Collins children were included. A two-stage surgery was adopted in 51% (n = 12) cases, while a one-stage approach was chosen in 49% (n = 11). 2 children underwent 1st stage surgery as they were younger than 5. There were neither cases of osseointegration failure, nor cases of traumatic implant loss. Overall, the local see more complication rate was not different in the one-stage and in the two-stage group. The functional gain was significantly better with the Baha than with the conventional bone-conduction
hearing aids (p < 0.0002). There was no difference in terms of functional outcome between the 7 patients receiving Baha at an age younger than 5 years and the rest (p = 0.23).
Conclusions: Baha can provide effective auditory rehabilitation for children with Treacher Collins syndrome, as long as it is performed in a tertiary care center where a multidisciplinary approach to the frequent comorbidities is possible. The main challenge of Baha surgery in this population is the poor or irregular thickness of NVP-LDE225 research buy the patient’s calvarial bone, which often makes it necessary to drill additional holes, to place the fixture in contact with the dura or to use materials for bone augmentation. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Purpose of review
Review of the management decisions that must be made by the endocrinologist during the use of radioactive iodine (RAI) therapy of hyperthyroidism and differentiated thyroid cancer.
Recent findings
Since the 1940s radioactive I-131 selleck (RAI) therapy has been a major component of the treatment of hyperthyroidism and differentiated thyroid cancer. RAI is
the most common definitive treatment of hyperthyroidism. Pretherapy decisions including use of antithyroid medication and low-iodine diet will be discussed with the relevant supportive literature. The method of semi-quantitative calculation used for RAI treatment of hyperthyroidism will be described. Evidence-based guideline for the management of differentiated thyroid cancer by the American Thyroid Association, new drug development and recent randomized controlled trials have changed current practice of how RAI is used for remnant ablation and adjuvant therapy of differentiated thyroid cancer.
Summary
RAI is a common tool for the endocrinologist in the management of hyperthyroidism and differentiated thyroid cancer.