BACKGROUND: Multiple exposures to general anesthesia may be neurotoxic to the developing brain. This relationship has not been evaluated in children undergoing laser surgery for vascular anomalies. OBJECTIVE: To evaluate the prevalence of neurodevelopmental abnormalities in children who received multiple laser procedures under general anesthesia before the age of 4 years for the treatment of vascular anomalies. METHODS AND MATERIALS: Retrospective chart review of patients with contact of parents for telephone interview. RESULTS: Thirty-three patients were eligible. Average age at the time of survey was 7.8 years. Twenty-three (84.8%) patients were female, with average age at the time of first treatment at 1.9 years. Average number of treatments received before the age of 4 years was 6.7. Anesthetics included inhalational nitrous oxide and isoflurane and intravenous propofol. Seven patients carried one or more of the following diagnoses: attention-deficit hyperactivity disorder (3.0%), anxiety (6.1%), behavioral disorder (3.0%), language disorder (3.0%), speech disorder (3.0%), and motor disorder (6.1%). These prevalence rates are similar to those found in the US population. CONCLUSION: This is the first report on the prevalence of neurodevelopmental disorders in children undergoing multiple laser treatments under general anesthesia. Although the study sample is small, no increased risks when comparing with prevalence rates reported in the literature were noted. (C) 2016 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
http://ift.tt/2hBn7Tg
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Table of Contents
- Editorial Board and Masthead
- Meetings of Interest
- Editorial Board
- Age-related alterations in human neocortical plast...
- Neuronal expression of a thyroid hormone receptor ...
- Characteristics and processing of Pol IV transcrip...
- Adaptive responses of heart and skeletal muscle to...
- Human papillomavirus status and the relative biolo...
- Orbital Imaging Manifestations of Neurocutaneous S...
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- Sinonasal methicillin-resistant Staphylococcus aur...
- The role of sinus surgery in sleep outcomes
- Comprehensive management of hereditary hemorrhagic...
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- An update on endoscopic orbital decompression
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- The evidence for olfactory training in treating pa...
- Caudal septum surgery techniques reviewed
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- Cetirizine-responsive, persistent idiopathic eosin...
- Autonomic function in adults with allergic rhiniti...
- A veil in the oral cavity: report of two cases of ...
- Maxillary advancement versus mandibular setback in...
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- Otorhinolaryngology/Head and Neck Surgery in a Low...
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- The Acceptable Noise Level and the Pure-Tone Audio...
- Increased interleukin (IL)-17 serum levels in pati...
- Management of hidradenitis suppurativa in pregnancy
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- Trial of Lenvatinib Plus Pembrolizumab in Subjects...
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- Trial of Lenvatinib Plus Pembrolizumab in Subjects...
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