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Dit geactualiseerde zakboek bundelt op een systematische manier de belangrijksteaandoeningen van neus, keel en oor. Klinische foto's verhelderen de verschillende aandoeningen van hoofd en hals. Het vakgebied omvat de zintuigen gehoor, evenwicht, reuk en smaak en de functies ademhalen, slikken en spreken. Het bedient zich van een groot aantal specifieke methoden van onderzoek, behandeling en revalidatie, dat in andere specialismen niet of niet in die mate voorkomt.Deze compacte en overzichtelijke leidraad voor diagnostiek en behandeling is bestemd voor artsen en kan door leden van alle paramedische beroepsgroepen geraadpleegd worden als naslagwerk. Verder is het geschikt voor studentengeneeskunde, tandheelkunde, biomedische wetenschappen en technische geneeskunde. In de medische opleiding wordt relatief weinig tijd besteed aan dit specialisme, hoewel het 30 procent uitmaakt van de klachten waarvoor de huisarts geraadpleegd wordt.

Otorhinolaryngology --- otorinolaryngologie --- hals --- keel --- mond --- Otorinolaryngologie --- Keel --- Neuzen --- Oren --- Chirurgie --- 609.7 --- otorinolaryngologie - ORL --- Otorhinolaryngologic Diseases --- ENT Diseases --- Otolaryngological Diseases --- Otorhinolaryngologic Disease --- Otorhinolaryngological Disease --- Otolaryngologic Diseases --- Disease, ENT --- Disease, Otolaryngologic --- Disease, Otolaryngological --- Disease, Otorhinolaryngologic --- Disease, Otorhinolaryngological --- Diseases, ENT --- Diseases, Otolaryngologic --- Diseases, Otolaryngological --- Diseases, Otorhinolaryngologic --- Diseases, Otorhinolaryngological --- ENT Disease --- Otolaryngologic Disease --- Otolaryngological Disease --- Otorhinolaryngological Diseases --- Otolaryngology --- Neus --- Oor

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Seksualiteit in de kleuterklas: Zijn kleuters hier al mee bezig? Hoe moet je omgaan met kleuters die seksueel gedrag vertonen? Hoe reageer je op seksueel getinte vragen? Hierop willen we een antwoord geven. De seksuele ontwikkeling start al in de babyfase. Jonge kinderen ervaren wat prettig en minder prettig aanvoelt en gaan dit stilaan onthouden. Kleuters zijn doorgaans nieuwsgierig naar het eigen lichaam en dat van de anderen. Door het lichaam te onderzoeken, stellen ze allerlei dingen vast. Als opvoeder/leidster is het vaak moeilijk om hierop te reageren, dit komt omdat seksualiteit voor vele nog een moeilijk onderwerp is. Juist door er met het jonge kind over te praten komt men tot een gezonde ontwikkeling op seksueel gebied. Verder vonden we het interessant om materialen op te lijsten die je kan gebruiken wanneer dit onderwerp ter sprake komt in de kleuterklas.

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Objective: The aim of this study was to objectify facial surface morphology of mouth breathing children and to perform a power analysis for the design of future studies. Methods: The study was conducted on 25 Western-European pediatric patients aged 4-8 years. 6 Mouth breathing children who were planned for adeno(tonsillec)tomy were included in the study group, 19 nasal breathing, age and gender matched children served as control population. Three dimensional images were taken and analyzed using anthropometric mapping and robust superimposition to allow the visualization of differences in morphology between the two groups. A power analysis was performed using t-tests to determine study population size for future studies. Results: Due to a small sample size and few images of sufficient quality in our present study we were unable to detect significant results. The power analysis we performed showed that three dimensional data of 7 study subjects and 7 control subjects would be sufficient in order to achieve significant results. Conclusions: We were unable to present significant results regarding the difference in facial surface morphology between mouth breathing and nasal breathing children. Future studies on soft tissue patterns and the possibility of reversibility of aberrant craniofacial development after adeno(tonsillec)tomy are needed.

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ABSTRACT Background Lymphatic malformation (LM) is a rare congenital condition. This vascular anomaly mainly occurs in the head and neck region and may cause esthetic complaints/deformity and airway compromise. Complete excision is often not possible, as the malformation is extending around vessels and nerves. In macrocystic lesions, percutaneous sclerotherapy is considered a valuable treatment option. Objective To evaluate the safety, efficacy and durability of ultrasound-guided sclerotherapy with doxycycline in LM in the head and neck region. Materials and methods We conducted a retrospective study of consecutive patients treated for LM with doxycycline sclerotherapy over a 9-year period (2010-2019). Data collection included patient demographics, presentation details as size, location, side and classification; number of procedures, amount of doxycycline injected and type of anesthesia. The available imaging, including MRI, angiography and US were reviewed. Outcome was evaluated using the medical reports of the last follow-up appointments taking into account clinical improvement, ultrasound measurements and possible complications. Results Over a 9-year period (2010-2019), 27 patients (14 M, 13F) underwent a total amount of 103 sclerotherapy procedures for congenital head and neck LM. Patients underwent a mean of four sclerotherapy sessions. Two out of 27 patients presented with a minor complication, one patient with a post-procedural major complication. The mean total dose of injected doxycycline was 170 mg. 85.19% of the patients obtained an excellent result, 11.11% were satisfied with the result over a mean follow-up period of 40 months. In one patient, sclerotherapy did not have the wished-for outcome. Conclusion Ultrasound-guided, percutaneous doxycycline sclerotherapy is an effective and durable treatment in LM with a low complication rate.

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Introduction Patient-reported outcome measures (PROMs) are increasingly being used to report on the results of pinnaplasty. An overview is needed of the existing PROMs and their clinical relevance and methodological quality in this target population. This could facilitate finding the most appropriate PROM to use in clinical practice and future research. Methods and materials A systematic review and psychometric quality assessment of PROMs was performed following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. MEDLINE and EMBASE were searched from date of inception up to August 8th, 2021 for English language publications using a PROM to report on the outcome after pinnaplasty and providing information on its measurement properties. The measurement property studies in this target population were critically appraised for quality, as were their results. Levels of evidence were assigned to the summarized results. Results Of the 23 identified PROM’s only four were included for psychometric quality assessment. None of them could be evaluated for all measurement properties due to the small number of available studies. The Glasgow (Children’s) Benefit Inventory (GBI and GCBI) and Post-Operative Pinnaplasty Questionnaire (POP-Q) did not meet the criteria for sufficient content validity and internal consistency, mainly due to inappropriate statistical methods and missing information. The EAR-Q showed low evidence for sufficient content validity while its internal consistency was indeterminate. Discussion None of these PROMs can be recommended due to limited evidence on psychometric properties. Pending additional evidence, the EAR-Q seems to be the most suitable PROM to use.