Methods: In this retrospective cohort study, 30 children found to have SOB by PSG who have undergone either PITA (15 participants) or T&A (15 participants) as treatment were evaluated with standardized history and physical examination and unattended home overnight PSG.
Results: Median change in apnea-hypopnea index (AHI) was 1.7 (-4.9 to 29.8) for the PITA group and 2.3 (-10.9 to 64.1) for the T&A group, although there was substantially more variability in
the T&A group. A mixed linear model evaluating the relation of surgical group with change in AHI demonstrated no significant differences in group means (F[1,13] = 0.31, P=.590) but the variances differed significantly (residual likelihood ratio U0126 chi-square = 5.24, df = 1, P=.022). Five of 15 (33%) PITA patients and 4 of 15 (27%) T&A patients had postoperative AHI scores of <= 5; this difference was not statistically significant (Fisher exact test P = 1.000). There was no significant interaction or substantial confounding effect of age, sex, race, preoperative tonsil size, preoperative AHI, or body mass index in the model relating surgery type to reduction of postoperative AHI to <= 5.
Conclusions: Our study demonstrates no clinically or statistically significant differences
in PSG and clinical outcomes between PITA and T&A for treatment of pediatric SDB in otherwise healthy children. (C) 2010 Elsevier Ireland Ltd. All rights reserved.”
“Background: To overcome the complexity of acetabular www.selleckchem.com/products/gsk3326595-epz015938.html fractures, several techniques, such as extensive surgical
exposure, transtrochanteric osteotomy, and columnar screw fixation, were reported. However, all these techniques have their disadvantages and limitations. We report the surgical results of a modified technique with posterior columnar screw insertion and neutralization plate in a single Kocher-Langenbeck approach for complex acetabular fractures.
Methods: We identified 30 patients with 30 acetabular fractures who had been treated by this technique between 1995 and 2004. Demographic data, perioperative results, and complications were all recorded. The detail of surgical procedure was described and illustrated.
Results: selleck chemicals llc There were 13 men and 17 women with mean age of 36.4 years (range, 19-66 years). Mean follow-up duration was 49.2 months (range, 24-112 months). All fractures achieved union, and there was no loss reduction and fixation during the follow-up period. There were five complications during hospital stay, including superficial and deep infection and transient sciatic nerve palsy. There was no loss of reduction during follow-up period. Five patients underwent total hip arthroplasty caused by posttraumatic osteoarthritis and preexisting osteoarthritis.