NOVEMBER 2008 - A Glimpse into current issue

Main Article: Evaluation of adenoidal obstruction in children: clinical symptoms compared with roentgenographic assessment

Obstructive adenoidal enlargement is commonly implicated as the major cause of chronic nasal obstruction in children. This study aimed to determine the correlation between graded symptomatology assessment and roentgenographic assessment of adenoidal obstruction, in a group of 64 children. Correlation between symptomatology assessment and roentgenographic assessment was significant for roentgenographic ratings of minimal obstruction (p < 0.05) and gross obstruction (p < 0.001). Clinical ratings of adenoidal symptoms in children provide reasonably reliable assessment of the presence and severity of nasopharyngeal airway obstruction

Clinical Record: Extraosseous osteoblastoma of larynx presenting with acute airway obstruction

A rare case of obstructing osteoblastoma of the larynx is reported, which presented with rapid onset airway obstruction. Osteoblastoma must be distinguished both on histological and clinical grounds, from the more aggressive osteosarcoma or osteoblastoma variants. Treatment should be surgical excision, which, if available, may be achieved by transoral laser microsurgery. Due to the rapid growth, careful follow-up is essential in order to ensure early recognition of recurrence and prevention of potentially life-threatening airway obstruction

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