CONGENITAL LARYNGEAL STRIDOR: A Diagnostic Study Including Technique of Tracheobronchography in Infants

Baker, Daniel C.

doi:10.1001/archotol.1954.00720010178007

Cited by 4 publications

(1 citation statement)

References 24 publications

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“…Therefore in every child with noisy breathing of clinical importance a differentiation must be made by a wide range of diagnostic measures (2–4) to find out whether stridor occurs due to temporary swelling of the mucosa, a soft structure, a congenital anomaly or an injury narrowing the airway by at least 50–70%. In the end laryngoscopy and bronchoscopy is always necessary to establish the final diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Stridor is not a scientifically valid outcome measure for assessing airway injury

Holzki

Laschat

Puder

2009

Pediatric Anesthesia

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SummarySince about a decade cuffed intubation is becoming more popular in pediatric anesthesia. Studies supporting cuffed intubation compared cuffed and uncuffed intubation by using stridor as main outcome measure after extubation. No differentiations were made between benign (oedema) and severe (ulceration of mucosa) lesions. Stridor was considered to represent all relevant injuries. Far reaching conclusions for daily practice were drawn from these studies. Pediatric endoscopists and -ENT-surgeons with extensive experience in this field have warned against this opinion because significant injury of the airway is not always accompanied by stridor! The symptom of stridor might develop weeks and months after injury when silent ulcerations of the mucosa retract to significant stenosis. Only endoscopy can evidently detect all airway injuries. Studies describing airway injury by endoscopic control are urgently needed to find the best way of preventing airway injury by intubation.

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Section: Introductionmentioning

confidence: 99%