Browsing by Author "Pandey, Vaibhav"

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    Coexisting Congenital Subglosso-palatal Membrane and Tongue Dermoid in a Neonate
    (Indian Academy of Pediatrics, 2018-12) Tiwari, Preeti; Pandey, Vaibhav; Tapadar, Jayanto
    Background: Neonatal respiratory distress due to coexisting subglosso-palatalmembrane and tongue dermoid has not been reported yet. Case characteristics: Anewborn with respiratory distress having a membrane in the oral cavity. Excision ofmembrane revealed a tongue mass with cleft palate, obstructing the nasopharynxcompletely. Elective ventilation was followed by excision of mass. Outcome: The childwas cured with uneventful course at follow-up of six months. Message: Co-existingcongenital anomalies causing airway obstruction may be missed in presence ofsubglosso-palatal membrane.
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    Color Doppler Ultrasound Indices as Predictors of Propranolol Response in Infantile Hemangioma: A Prospective Study
    (The Indian Academy of Pediatrics, 2024-03) Pandey, Vaibhav; Bera, Rathindra Nath; Diwedi, Amit Nandan Dhar; Singh, Om Prakash; Tiwari, Preeti
    Objective: To evaluate the utility of color Doppler ultrasonography in assessing infantile hemangioma response to treatment with oral propranolol. Method: A prospective study was conducted between January, 2016 and December, 2022, wherein children with symptomatic (ulceration, bleeding, pain and scarring) infantile hemangioma were given oral propranol (2 mg/kg per day in three divided doses) as outpatient therapy. The clinical response was assessed three months post-initiation of treatment (intermediate clinical response) and three months post-completion of treatment (final clinical response, FCR). The primary outcome measurement was a clinical and radiological response (resistivity index (RI), pulsatility index (PI) and peak systolic velocity) to treatment. The secondary outcomes assessed were the complications related to treatment. Result: Out of 601 patients who were started on propranolol, 99 developed severe adverse effects and were excluded from analysis. At FCR assessment, out of 502 participants, 64.3% (n = 323) showed excellent response, 17.7% (n = 89) showed partial, and 17.9% (n = 90) were non-responders. A significant increase in RI and PI values was noted in all children following propranolol treatment for six months. An increase > 7.5% in RI could identify responders with 92% sensitivity, 91% specificity and area under the curve (AUC) of 0.963. An increase of > 11.5% in PI could identify responders with 86% sensitivity, 91% specificity and AUC of 0.896. Patients initially showing no response but later becoming excellent responders had significantly higher RI and PI values. Conclusion: Color Doppler ultrasonography is a valuable tool in predicting the treatment outcome of infantile hemangioma using propranolol.
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    Conveyor Belt Entrapment Trauma in Children: An Unreported Menace
    (Indian Academy of Pediatrics, 2020-01) Tiwari, Preeti; Pandey, Vaibhav; Das, Badri P; Singh, Anutosh K; Kumar, Rakesh
    A retrospective study was conducted including all the childrenwho sustained motorized machine belt entrapment injuries. Sixchildren included in study had mean (SD) Glosgow coma scaleand pediatric trauma score of 5.7 (3.54) and 3.2 (1.21),respectively. Overall mortality and paraplegia rate were 33.3%each. Awareness and legislation both are important to curb thismenace