ObjectiveTo identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology–He...

https://journals.sagepub.com/doi/pdf/10.1177/0194599820915457

Clinical Consensus Statement: Ankyloglossia in Children:

Ankyloglossia and Other Oral Ties.

Major complications after tongue-tie release: A case report and systematic review.

Ankyloglossia is a failure of the tongue to release from the oral floor with reported consequences that include breastfeeding difficulties and speech impediments. Frenotomy is a commonly performed procedure for the treatment of ankyloglossia. Laser (light amplification by stimulated emission of radiation) is one of several mediums used to perform frenotomies. Although most frenotomies are uncomplicated, there remains a small possibility of complication, such as infection, pain, ductal injury, and hemorrhage, even in expert hands. Because frenotomies are most often performed in infants, postoperative hemorrhage is an important complication to look for as even small amount of bleed may prove fatal, due to low blood volume reserve. We report a case of delayed hemorrhage after laser frenotomy in a 6-week old infant displaying shock symptoms and required fluid resuscitation.

Delayed Hemorrhage Following Laser Frenotomy Leading to Hypovolemic Shock

Thyroid cancer is the most common endocrine malignancy, with increasing incidence over the past few decades. Fine needle aspiration (FNA) biopsy is the gold standard for preoperative diagnosis of thyroid malignancies. Nevertheless, this method renders indeterminate results in up to 30% of the cases. Therefore, these patients are often referred to unnecessary surgery to establish the diagnosis. To improve the accuracy of preoperative diagnosis, several other ways, such as ultrasonography, elastography, immunohistochemical analysis, genetic testing, and core needle biopsy, have been developed and can be used either in association with or as an alternative to FNA. This review aims to evaluate all these diagnostic tools to determine the most appropriate way of managing thyroid nodules and subsequently improve the selection of cases referred to surgery. 

Preoperative evaluation of thyroid nodules - Diagnosis and management strategies.

Hypovolemic shock after labial and lingual frenulectomy: A report of two cases.

The impact of thyroid nodule size is less useful in children who have smaller thyroid volumes than in adults. We investigate using a novel thyroid tumor ratio measurement in children with thyroid cancer.

Thyroid tumor ratio: Improving the assessment of the impact of size in pediatric thyroid cancer

1Department of Diagnostic Imaging, St. Jude Children’s Research Hospital, Memphis, Tennessee, USA 2Department of Radiology, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA 3Department of Radiology, University of IowaHospitals and Clinics and Stead Family Children’s Hospital, Iowa City, Iowa, USA 4Department of Otolaryngology, Pediatric Otolaryngology Division, UT SouthwesternMedical Center and Children’s Health Dallas, Dallas, Texas, USA 5Department of Radiology, Children’s National Hospital,Washington, District of Columbia, USA 6Department of Radiology, Rady Children’s Hospital, University of California, San Diego, California, USA 7Department of Radiology,Weill Cornell Medicine, NewYork, New York, USA 8University of Southern California, Keck School ofMedicine, Department of Otolaryngology-Head andNeck Surgery, Children’s Hospital Los Angeles, Los Angeles, California, USA 9Department of Radiology, University of Texas SouthwesternMedical Center and Children’s Health Dallas, Dallas, Texas, USA 10Le Bonheur Neuroscience Institute, Le Bonheur Children’s Hospital, Departments of Radiology, Ophthalmology, and Neurosurgery, University of Tennessee Health Science Center (UTHSC), Memphis, Tennessee, USA

Imaging of pediatric head and neck tumors: A COG Diagnostic Imaging Committee/SPR Oncology Committee/ASPNR White Paper

Introduction While the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) is the most widely used method for categorizing thyroid nodules, its applicability to children is often debated. We describe our institution’s experience utilizing the TBSRTC and examine the rates of malignancy in our population. Methods We conducted a retrospective chart review of eligible patients undergoing primary thyroidectomy at a high-volume tertiary care pediatric hospital. All patients had pre-operative fine needle aspiration Results Of the 112 patients in our cohort, 85 (76%) were female. The median age was 15.1 years. The patients were divided into groups based on the Bethesda categorization of the fine needle aspirations of their nodules. The percentages of patients whose resection specimens showed evidence of malignancy on the surgical pathology reports were recorded as follows: category I (n = 5): 20%, category II (n = 11): 0%, category III (n = 30): 17%, category IV (n = 13): 31%, category V (n = 17): 94% and category VI (n = 36): 100%. Conclusion Our findings indicate that the malignancy rates at our institution are comparable to those reported by other high-volume studies. When compared with the 2017 TBSRTC data, we found that our results were similar in many categories, with the exception of categories I and V.

Malignancy Rates by Bethesda Subcategory in the Pediatric Population

Pediatric invasive fungal rhinosinusitis (IFS) is a devastating infection that manifests almost exclusively in immunocompromised children. The goal of this work was to determine which clinical features carry prognostic value for survival.

Pediatric Invasive Fungal Rhinosinusitis: A Comprehensive Analysis of Prognostic Factors for Survival

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