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The prophylactic use of a nasotracheal tube in infants under three months of age
496
ASBTRACTS
Occasionally, special studies are done, such as bone scan, liver scan, and immune response tests. After all the foregoing diag= nostic procedures are carried out, due to the limitations of lymphangiography in delineating the extent of the disease, the author advises an exploratory laparotomy for the ptrrpose of biopsy of the lymph node, splenectomy, liver biopsy, marking of the edges of lymph node involvement with silver clips, and, in girls, transposition of the ovaries to place them outside the field of radiation therapy. The exploration is usually performed through a transverse incision placed above the umbilicus. In addition to the biopsy of suspicious nodes, biopsies are taken from the common ileac chains, the lower and upper lumbar paraaortic nodes, the high retroperitoneal nodes at the level of the ileae axis, and mesenteric nodes. The spleneetomy is done routinely OH all the children whether or not the spleen appears to be involved because in patients without gross involvement microscopic evidence of Hodgkin's disease has been found. The removal of the spleen also allows the radiotherapist to reduce the size of the portal and spare the kidney and lower lung field on that side. No results are given.--M. Gilbert
A N E S T H E S I A AND I N H A L A T I O N THERAPY THE PROPHYLACTIC USE OF A NASOTRACHEAL TUBE IN INFANTS UNDER THREE MONTHS
OF AGE. Dennis L. Coppel, Edward J. Bennett, E. Warner Ahlgren~ and C. R. Stephen. Surgery 69:354-359 (March), 1971. A series of 55 postoperative neonates treated prophylactically with orotracheal and nasotraeheal intubation begun immediately postoperatively and maintained for variable periods of time documents the indications, the technique, and the life-saving value of this method of managing and preventing respiratory tract complications in the surgical neonate.-W. K. Sieber TRANSFER FACTOR FOR C O DURING EXERCISE IN CHILDREN. Sandra D. Anderson
and S. Godfrey. Thorax 26:51--54 (January), 1971.
Forty healthy children (19 boys and 21 girls), aged from 5 to 16 yr, were tested by adulterating the air that they inspired with 0.04% carbon monoxide, and the transfer factor of carbon monoxide (TLco) was measured by the steady-state method during exercise on a treadmill. The fractional uptake of carbon monoxide diminished as oxygen consumption increased but its net uptake had a linear correlation with oxygen consumption. TLco values at rest were tripled with exercise, an increase greater than in adults, and the values were also correlated significantly with the height of the child. -J. F. R. Bentley INTEGUMENT AND C O N N E C T I V E TISSUE M A L H E R B E TYPE OF CALCIFYING PSEUDOEPITHELIOMA IN A SIX-YEAR-OLD GIRL.
F. P. Traversa, M. Bossu, and M. Buonamico. Riv. Chir. Pediat. 12:92-99, 1970. A small calcified mass was excised from the right inferior clavicular fossa of a 6-yrold girl. The pathology report was a benign calcifying epithelioma of the Maiherbe type. The etiology of this rare lesion is thoroughly described and discussed.'C. A. Montagnani H E A D AND NECK MUSCULAR TORTICOLLIS: LATE RESULTS OF OPERATIW TREATMENT. Lynn T. Staheli. Surgery 69:469-473 (March), 1971. Fourteen patients with muscular tortieollis treated surgically at the Children's Orthopedic Hospital in Seattle, Wash., were reexamined at an average follow-up period of 13 yr after the initial surgical procedure. The patients had few complaints other than dissatisfaction with the Scar in one and tenderness of the scar in another. A tight recurrent lateral band was noted in 12 of these patients, causing some residual limitation of motion in nine. Ten patients had detectable facial asymmetry; early operation did not reduce this likelihood. Five patients had a second operative procedure and two had three procedures done.-W. K. Sieber CHILDHOOD THYROID CARCINOMA. Jay K.
Harness, Norman W. Thompson, and Ronald H. Nishiyama. Arch. Surg. 102: 278-284 (April), 1971.
ASBTRACTS
Occasionally, special studies are done, such as bone scan, liver scan, and immune response tests. After all the foregoing diag= nostic procedures are carried out, due to the limitations of lymphangiography in delineating the extent of the disease, the author advises an exploratory laparotomy for the ptrrpose of biopsy of the lymph node, splenectomy, liver biopsy, marking of the edges of lymph node involvement with silver clips, and, in girls, transposition of the ovaries to place them outside the field of radiation therapy. The exploration is usually performed through a transverse incision placed above the umbilicus. In addition to the biopsy of suspicious nodes, biopsies are taken from the common ileac chains, the lower and upper lumbar paraaortic nodes, the high retroperitoneal nodes at the level of the ileae axis, and mesenteric nodes. The spleneetomy is done routinely OH all the children whether or not the spleen appears to be involved because in patients without gross involvement microscopic evidence of Hodgkin's disease has been found. The removal of the spleen also allows the radiotherapist to reduce the size of the portal and spare the kidney and lower lung field on that side. No results are given.--M. Gilbert
A N E S T H E S I A AND I N H A L A T I O N THERAPY THE PROPHYLACTIC USE OF A NASOTRACHEAL TUBE IN INFANTS UNDER THREE MONTHS
OF AGE. Dennis L. Coppel, Edward J. Bennett, E. Warner Ahlgren~ and C. R. Stephen. Surgery 69:354-359 (March), 1971. A series of 55 postoperative neonates treated prophylactically with orotracheal and nasotraeheal intubation begun immediately postoperatively and maintained for variable periods of time documents the indications, the technique, and the life-saving value of this method of managing and preventing respiratory tract complications in the surgical neonate.-W. K. Sieber TRANSFER FACTOR FOR C O DURING EXERCISE IN CHILDREN. Sandra D. Anderson
and S. Godfrey. Thorax 26:51--54 (January), 1971.
Forty healthy children (19 boys and 21 girls), aged from 5 to 16 yr, were tested by adulterating the air that they inspired with 0.04% carbon monoxide, and the transfer factor of carbon monoxide (TLco) was measured by the steady-state method during exercise on a treadmill. The fractional uptake of carbon monoxide diminished as oxygen consumption increased but its net uptake had a linear correlation with oxygen consumption. TLco values at rest were tripled with exercise, an increase greater than in adults, and the values were also correlated significantly with the height of the child. -J. F. R. Bentley INTEGUMENT AND C O N N E C T I V E TISSUE M A L H E R B E TYPE OF CALCIFYING PSEUDOEPITHELIOMA IN A SIX-YEAR-OLD GIRL.
F. P. Traversa, M. Bossu, and M. Buonamico. Riv. Chir. Pediat. 12:92-99, 1970. A small calcified mass was excised from the right inferior clavicular fossa of a 6-yrold girl. The pathology report was a benign calcifying epithelioma of the Maiherbe type. The etiology of this rare lesion is thoroughly described and discussed.'C. A. Montagnani H E A D AND NECK MUSCULAR TORTICOLLIS: LATE RESULTS OF OPERATIW TREATMENT. Lynn T. Staheli. Surgery 69:469-473 (March), 1971. Fourteen patients with muscular tortieollis treated surgically at the Children's Orthopedic Hospital in Seattle, Wash., were reexamined at an average follow-up period of 13 yr after the initial surgical procedure. The patients had few complaints other than dissatisfaction with the Scar in one and tenderness of the scar in another. A tight recurrent lateral band was noted in 12 of these patients, causing some residual limitation of motion in nine. Ten patients had detectable facial asymmetry; early operation did not reduce this likelihood. Five patients had a second operative procedure and two had three procedures done.-W. K. Sieber CHILDHOOD THYROID CARCINOMA. Jay K.
Harness, Norman W. Thompson, and Ronald H. Nishiyama. Arch. Surg. 102: 278-284 (April), 1971.