Upper airway abnormalities detected in children using flexible bronchoscopy

Midyat, Levent; Çakır, Erkan; Kut, Arif

doi:10.1016/j.ijporl.2012.01.016

Cited by 9 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Subglottic stenosis is a complication that frequently develops after intubation and is characterized by respiratory distress . The aim of this study was to investigate the demographic features and risk factors associated with the development of SGS in intubated patients.…”

Section: Discussionmentioning

confidence: 99%

“…Subglottic stenosis (SGS) is one of the most common causes of upper airway obstruction in childhood. It can be congenital or acquired and has a frequency between 0.6% and 11% …”

mentioning

confidence: 99%

“…It can be congenital or acquired and has a frequency between 0.6% and 11%. [1][2][3][4][5] Congenital SGS is defined as an airway lumen smaller than 4 mm in the neonate (<3 mm in premature infants). Congenital SGS develops as a result of a defect in the recanalization of the laryngeal lumen during the embryonic period.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Post‐intubation subglottic stenosis in children: Analysis of clinical features and risk factors

Çakır

Atabek

Çalım

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

Background Subglottic stenosis (SGS) is a complication that develops after intubation and is characterized by respiratory distress. The aim was to evaluate patients with post‐intubation SGS and to discover the factors contributing to its development. Methods A total of 112 patients who had a history of intubation were included. The case group consisted of 50 patients with post‐extubation persistent respiratory symptoms for which flexible bronchoscopy (FOB) was conducted and showed SGS. The control group consisted of 62 patient with no post‐extubation persistent respiratory symptoms, for whom FOB was not done (n = 54), and who had post‐extubation persistent respiratory symptoms and underwent FOB, which did not show subglottic stenosis (n = 8). Results No significant differences were detected related to age, gender, and gestational age. The median number of recurrent intubations was 2.5 and 3 in the case group and in control group, respectively (P = 0.14). The median duration of intubation was 20.5 days in the case group, and 6 days in the control group (P < 0.001). The Myer–Cotton classification indicated a degree of obstruction of grade 1 (mild) in 30% (n = 15), grade 2 in 16% (n = 8), grade 3 in 48% (n = 24), and grade 4 in 6% (n = 3) of the case group. Conclusion The duration of intubation was found to be a significant risk factor for SGS development. Age at intubation, gender, gestational age, indication of intubation, and the number of recurrent intubations were found to have no significant association. Patients with post‐extubation persistent respiratory problems, especially those with prolonged intubations, should be evaluated for SGS.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Subglottic stenosis (SGS) is one of the most common causes of upper airway obstruction in childhood. It can be congenital or acquired and has a frequency between 0.6% and 11% …”

mentioning

confidence: 99%

See 1 more Smart Citation

Post‐intubation subglottic stenosis in children: Analysis of clinical features and risk factors

Çakır

Atabek

Çalım

et al. 2020

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…However, cobblestones are not consistently described in the literature. There are also many publications reporting endoscopy examination of pediatric upper airway but with no specific reference to cobblestones …”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of tracheal cobblestoning in children

Gerber

Bailey

Gysin

et al. 2014

Pediatric Pulmonology

View full text Add to dashboard Cite

show abstract

“…Das häufigste und vor allem für die Eltern am bedrohlichsten erscheinende Symptom ist der inspiratorische Stridor. Dies ist ein scharfes, vibrierendes Geräusch unterschiedlicher Frequenz, verursacht durch einen turbulenten Luftstrom als Folge der partiellen Verlegung der oberen Atemwege (9). Mögliche Symptome einer laryngotrachealen Einengung im Kindesalter sind daneben aber auch Ess-und Gedeihstörungen. In der einschlägigen Literatur finden sich neben der Laryngo-, laryngotrachealen und Tracheomalazie als häufigste Ursachen für einen inspiratorischen Stridor noch die Stimmlippenparese, die subglottische Stenose, ein Larynxödem sowie weitere seltene Ursachen.…”

Section: Discussionunclassified

Kindliche Stenosen des laryngo trachealen Übergangs

Prenzel¹,

Till²,

López³

et al. 2013

Kinder- und Jugendmedizin

View full text Add to dashboard Cite

ZusammenfassungStenosen des laryngotrachealen Übergangs stellen besonders bei Neugeborenen und Kleinkindern eine Herausforderung für die Diagnose und Therapie dar. Ein inspiratorischer Stridor ist oftmals das auffälligste klinische Symptom und führt die besorgten Eltern zur ärztlichen Konsultation. Die häufigste Ursache für einen angeborenen Stridor ist der infantile Larynx (Laryngomalazie). Dieser reift in den meisten Fällen spontan aus und bedarf keiner chirurgischen Therapie.Eine kongenitale Stimmlippenparese ist die zweithäufigste Ursache für den angeborenen Stridor. Kinder mit kardialen oder kardiovaskulären Fehlbildungen, aber auch Patienten nach Korrektur einer Ösophagusatresie, bilden für die iatrogene Stimmlippenparese eine besondere Risikogruppe.Des Weiteren führen subglottische Stenosen zu inspiratorischem Stridor. Die engste Stelle im oberen Atemweg bei kleinen Kindern ist der rigide Ringknorpel, der somit eine Prädilektionsstelle für ein Atemwegshindernis darstellt. Die konnatalen und intubationsassoziierten subglottischen Stenosen bedürfen nicht nur einer sorgfältigen endoskopischen Diagnostik, sondern auch komplexer operativer Rekonstruktionsverfahren mit dem Ziel der langfristigen Tracheostomavermeidung. Hierfür sind eine spezielle Expertise sowie die enge und interdisziplinäre Zusammenarbeit zwischen Pädiatern, Neonatologen, Kinderchirurgen und HNO-Ärzten erforderlich.

show abstract

Upper airway abnormalities detected in children using flexible bronchoscopy

Cited by 9 publications

References 13 publications

Post‐intubation subglottic stenosis in children: Analysis of clinical features and risk factors

Post‐intubation subglottic stenosis in children: Analysis of clinical features and risk factors

Prevalence and characteristics of tracheal cobblestoning in children

Kindliche Stenosen des laryngo trachealen Übergangs

Contact Info

Product

Resources

About