2002
DOI: 10.1067/mhn.2002.122703
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Tracheal Bronchus: Classification, Endoscopic Analysis, and Airway Management

Abstract: Otolaryngologists should be aware of the tracheal bronchus, to include classification, endoscopic analysis, and airway management of this uncommon anomaly. Bronchoscopy with selected radiographic imaging allows the otolaryngologist to fully evaluate the child with a tracheal bronchus and to present timely therapeutic options.

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Cited by 116 publications
(110 citation statements)
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“…8 A tracheal bronchus involving the upper lobe bronchus has more important anesthetic implications than involvement of the segmental bronchus, as obstruction by an ETT or double-lumen tube would result in a larger area of atelectasis and shunting. 6,8,11 A tracheal bronchus also may occur in association with other congenital anomalies such as tracheoesophageal fistula, tracheal stenosis and Down's syndrome. [10][11][12][13][14][15] Recognition of a tracheal bronchus before induction of anesthesia can be helpful for determining optimal positioning of the ETT.…”
Section: Discussionmentioning
confidence: 99%
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“…8 A tracheal bronchus involving the upper lobe bronchus has more important anesthetic implications than involvement of the segmental bronchus, as obstruction by an ETT or double-lumen tube would result in a larger area of atelectasis and shunting. 6,8,11 A tracheal bronchus also may occur in association with other congenital anomalies such as tracheoesophageal fistula, tracheal stenosis and Down's syndrome. [10][11][12][13][14][15] Recognition of a tracheal bronchus before induction of anesthesia can be helpful for determining optimal positioning of the ETT.…”
Section: Discussionmentioning
confidence: 99%
“…6,8,11 A tracheal bronchus also may occur in association with other congenital anomalies such as tracheoesophageal fistula, tracheal stenosis and Down's syndrome. [10][11][12][13][14][15] Recognition of a tracheal bronchus before induction of anesthesia can be helpful for determining optimal positioning of the ETT. 1 More frequently, the anesthesiologist may be unaware of the presence of tracheal bronchus, which could have important implications in the diagnosis and management of intraoperative hypoxia or atelectasis.…”
Section: Discussionmentioning
confidence: 99%
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“…While conservative treatment is sufficient in most cases, segment excisions may be required in the presence of persistent and recurrent upper lobe pneumonia, atelectasis, and air trapping. [2,11,12] Furthermore, even patients who have no complaints related to an active respiratory passage should continue to be followed up. However, tracheal bronchus patients are usually asymptomatic.…”
Section: Discussionmentioning
confidence: 99%
“…However, this anomaly may cause hypoxemia and prolonged atelectasis with intubation or during anesthesia due to inadvertent closure of the bronchial opening by the endotracheal tube [15][16][17][18][19][20] . Fur- thermore, bronchus suis is associated with other congenital anomalies, particularly trisomy 21 [21] . Hence, identification of this anomaly is of clinical relevance.…”
Section: Bronchus Suismentioning
confidence: 99%