Learning through the ArtsSince the arts have been proven to be therapeutic and helpful in child development, CLES, in collaboration with the National Dance Institute of New York, created a program to bring dance to public and private schools in Lebanon.
To commemorate Specific Learning Disabilities Day 10.10.DYS, CLES has organized an educational meeting on Oct.
The meeting will conclude with a round table-discussion with CLES specialists about specific learning disabilities.
In the present study, we observed that 28.3% of patients with natural myringostapediopexy had cholesteatoma in the CLE. Is this, therefore, a high-risk group for progression?
Although the prevalence of cholesteatoma in the CLE in our sample was similar between adults and children, the greatest incidence of disease progression over time in children suggests that conservative treatment in such cases may not be the best therapeutic strategy.
Abnormalities in the CLE were also studied by Couloigner et al in the analysis of 56 children (60 ears) with severe retraction of the posterosuperior quadrant.
If there is a PT cholesteatoma in the CLE that has been operated on with a stable outcome and good hearing, surgical intervention should be seriously considered to attempt to thwart progression in the subject ear.
Children withmyringostapediopexy in thesubjectear and PT cholesteatoma or severe retraction in the CLE are given the strongest recommendation for intervention.
Although our data cannot provide a definitive recommendation for treatment in cases of cholesteatoma or severe retraction in the CLE, they do highlight the role the CLE can play to inform clinical decision making.
Other common features of CLE include concomitant discoid lupus erythematosus or another lupus subtype, and mucosal ulcerations.
The recommended review of systems and exams to assess for systemic lupus erythematosus in CLE patients include asking about photosensitivity, looking for mucosal ulcers, and assessing for arthritis, as well as asking about a history of pericarditis or pleuritis, and a history of low blood counts, kidney disease, seizures, and malar rash.
On cutaneous exam, look for signs of concomitant CLE subtypes, assess for nonspecific cutaneous lupus findings, and evaluate the mucosa, she advised.