18Th International Congress of Pediatric
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1 British Thoracic Society Guidelines Recommendations for The
Thorax Online First, published on September 28, 2007 as 10.1136/thx.2007.077370 Thorax: first published as 10.1136/thx.2007.077370 on 28 September 2007. Downloaded from British Thoracic Society Guidelines Recommendations for the assessment and management of cough in children MD Shields, A Bush, ML Everard, S McKenzie and R Primhak on behalf of the British Thoracic Society Cough Guideline Group Michael D Shields Dept. of Child Health, Queen’s University of Belfast, Clinical Institute, Grosvenor Road, Belfast, BT12 6BJ Email: [email protected] Andrew Bush Royal Brompton Hospital, Sydney Street, London, SW3 6NP Email: [email protected] Mark L Everard Dept of Paediatrics, Sheffield Children’s Hospital, Western Bank, Sheffield, S. Yorkshire, S10 2TH. Email: [email protected] Sheila McKenzie Queen Elizabeth Children’s Services, http://thorax.bmj.com/ The Royal London Hospital, Whitechapel, London, E1 1BB Email: [email protected] Robert Primhak Dept. of Paediatrics, Sheffield Children’s Hospital, on September 29, 2021 by guest. Protected copyright. Western Bank, Sheffield, S. Yorkshire, S10 2TH. Email: [email protected] “the Corresponding Author (Michael D Shields) has the right to grant on behalf of all authors and does grant on behalf of all authors, an exclusive licence (or non exclusive for government employees) on a worldwide basis to the BMJ Publishing Group Ltd and its Licensees to permit this article (if accepted) to be published in [THORAX] editions and any other BMJPG Ltd products to exploit all subsidiary rights, as set out in our licence 1 Copyright Article author (or their employer) 2007. -
Complications of Different Ventilation Strategies in Endoscopic Laryngeal
Anesthesiology 2006; 104:52–9 © 2005 American Society of Anesthesiologists, Inc. Lippincott Williams & Wilkins, Inc. Complications of Different Ventilation Strategies in Endoscopic Laryngeal Surgery A 10-year Review Yves Jaquet, M.D.,* Philippe Monnier, M.D.,† Guy Van Melle, M.D., Ph.D.,‡ Patrick Ravussin, M.D.,§ Donat R. Spahn, M.D., F.R.C.A., Madeleine Chollet-Rivier, M.D.# Background: Spontaneous ventilation, mechanical controlled tracheal tube offers adequate airway protection and ventilation, apneic intermittent ventilation, and jet ventilation gas exchange, but the endotracheal tube prevents are commonly used during interventional suspension micro- optimal vision and access to the larynx. Furthermore, laryngoscopy. The aim of this study was to investigate specific 1–4 complications of each technique, with special emphasis on endotracheal fire may still be encountered with transtracheal and transglottal jet ventilation. the use of carbon dioxide laser despite the develop- Methods: The authors performed a retrospective single-insti- ment of nonflammable endotracheal tubes.5–7 tution analysis of a case series of 1,093 microlaryngoscopies 2. Spontaneous ventilation offers a free access to the performed in 661 patients between January 1994 and January larynx, but with a moving surgical field and a risk of 2004. Data were collected from two separate prospective data- bases. Feasibility and complications encountered with each inhalation of anesthetic gases and laser fumes by the technique of ventilation were analyzed as main outcome mea- patient -
Who's Who in Pulmonology
WHO’S WHO Who’s who in pulmonology Prof. Heather Zar heads the Division of Paediatric Health Department, and Director of the School of Child and Pulmonology at Red Cross War Memorial Children’s Adolescent Health at RCWMCH. She is Director of the Medical Hospital (RCWMCH), University of Cape Town Research Council Unit on Child and Adolescent Health. Her work on (UCT), with Drs Marco Zampoli, Aneesa Vanker childhood respiratory diseases, including pneumonia, tuberculosis, and Diane Gray, sharing consultant responsibilities. asthma and HIV-associated lung diseases has been internationally It is a diverse unit, managing a wide range of recognised; she has published more than 250 peer-reviewed paediatric respiratory conditions, and has an active publications and has substantial international grant support. She training and research programme with trainees currently serves as President of the Pan African Thoracic Society and from both South Africa (SA) and the African continent. on the Forum of International Respiratory Societies. She received the Heather is also Professor and Head of the Paediatrics and Child World Lung Health Award in 2014. Dr Marco Zampoli completed his paediatric and the cystic fibrosis clinic and provides clinical oversight and leadership sub-specialist training at RCWMCH and UCT in for the Breatheasy programme at RCWMCH, which supports 2007. His clinical and research interests in the field of children on the tracheostomy and ventilation home-care programme. paediatric pulmonology are wide and include HIV- Dr Zampoli is the current chair of the SA Cystic Fibrosis Medical related lung disorders, cystic fibrosis, neuromuscular and Scientific Advisory Committee and treasurer of the South African diseases and sleep medicine. -
Diagnosis and Therapy for Airway Obstruction in Children with Down Syndrome
ORIGINAL ARTICLE Diagnosis and Therapy for Airway Obstruction in Children With Down Syndrome Ron B. Mitchell, MD; Ellen Call, MS, CFNP; James Kelly, PhD Objectives: To document the causes of upper airway children had subglottic stenosis. Laryngomalacia was the obstruction in a population of children with Down syn- primary diagnosis in 10 children (43%), 8 of whom were drome and to highlight the role of associated comorbidi- younger than 1 month. Obstructive sleep apnea was the ties. primary diagnosis in 11 children (48%), 8 of whom were older than 2 years. All children with obstructive sleep ap- Design and Setting: Review of 23 cases involving chil- nea and 4 children with laryngomalacia had a second- dren with Down syndrome who were referred for upper ary ear, nose, and throat disorder. Gastroesophageal re- airway obstruction over a 21⁄2-year period to the Pediat- flux was a comorbidity in 14 children (61%). ric Otolaryngology Service of the University of New Mexico, Albuquerque. Conclusions: The causes, severity, and presentation of upper airway obstruction in children with Down syn- Methods: Data on the following variables were ob- drome are related to the age of the child and to associ- tained: reason for referral, demographics, diagnosis, sur- ated comorbidities. The treatment of comorbidities and gical procedures, complications, and comorbidities. secondary ear, nose, and throat disorders is an integral component of the surgical management of upper airway Results: The children ranged in age from 1 day to 10.2 obstruction in such cases. years (mean age, 1.8 years; median age, 6 months). Thir- teen children were male and 10 were female. -
Biphasic Stridor Related to a Congenital Vallecular Cyst Konjenital Vallekula Kisti Ile İlgili Bifazik Stridor
DOI: 10.4274/atfm.galenos.2019.25743 CASE REPORT / OLGU SUNUMU Journal of Ankara University Faculty of Medicine 2019;72(3):367-369 DAHİLİ TIP BİLİMLERİ / INTERNAL MEDICAL MEDICINE Biphasic Stridor Related to a Congenital Vallecular Cyst Konjenital Vallekula Kisti ile İlgili Bifazik Stridor Fatih Günay1, Nisa Eda Çullas İlarslan1, Serhan Özcan2, Tanıl Kendirli2, Alican Akaslan3, Süha Beton3, Nazan Çobanoğlu4 1Ankara University Faculty of Medicine, Department of Pediatrics, Ankara, Turkey 2Ankara University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Intensitive Care, Ankara, Turkey 3Ankara University Faculty of Medicine, Department of Otolaryngology, Ankara, Turkey 4Ankara University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Pulmonology, Ankara, Turkey Abstract Congenital vallecular cyst (VC) is a rare but potentially fatal pathology in neonates and infants. It usually manifests with symptoms such as stridor, apnea and cyanosis that develop shortly after birth. Stridor is the most common encountered symptom. VC is frequently accompanied by laryngomalacia (LM) and LM is the most common cause of stridor in infants. Diagnosis can be made by flexible laryngoscopy or bronchoscopy. Surgery is the mainstay for VC treatment. Here we present an infant who had respiratory distress, biphasic stridor and cyanosis worsened during feeding and crying, and diagnosed VC. The respiratory symptoms of the patient recovered rapidly after surgical resection. Key Words: Flexible Bronchoscopy, Infant, Respiratory Distress, Stridor, Vallecular Cyst Öz Konjenital vallekula kisti (VK) yenidoğanlarda ve bebeklerde nadir görülen ancak potansiyel olarak ölümcül bir patolojidir. Genellikle doğumdan kısa bir süre sonra ortaya çıkan stridor, apne ve siyanoz gibi semptomlarla kendini gösterir. Stridor en sık karşılaşılan semptomdur. -
Supraglottoplasty Home Care Instructions Hospital Stay Most Children Stay Overnight in the Hospital for at Least One Night
10914 Hefner Pointe Drive, Suite 200 Oklahoma City, OK 73120 Phone: 405.608.8833 Fax: 405.608.8818 Supraglottoplasty Home Care Instructions Hospital Stay Most children stay overnight in the hospital for at least one night. Bleeding There is typically very little to no bleeding associated with this procedure. Though very unlikely to happen, if your child were to spit or cough up blood you should contact your physician immediately. Diet After surgery your child will be able to eat the foods or formula that they usually do. It is important after surgery to encourage your child to drink fluids and remain hydrated. Daily fluid needs are listed below: • Age 0-2 years: 16 ounces per day • Age 2-4 years: 24 ounces per day • Age 4 and older: 32 ounces per day It is our experience that most children experience a significant improvement in eating after this procedure. However, we have found about that approximately 4% of otherwise healthy infants may experience a transient onset of coughing or choking with feeding after surgery. In our experience these symptoms resolve over 1-2 months after surgery. We have also found that infants who have other illnesses (such as syndromes, prematurity, heart trouble, or other congenital abnormalities) have a greater risk of experiencing swallowing difficulties after a supraglottoplasty (this number can be as high as 20%). In time the child usually will return to normal swallowing but there is a small risk of feeding difficulties. You will be given a prescription before you leave the hospital for an acid reducing (anti-reflux) medication that must be filled before you are discharged. -
Congenital Laryngeal Cyst
Global Journal of Otolaryngology ISSN 2474-7556 Case Report Glob J Otolaryngol Volume 20 Issue 2 - June 2019 Copyright © All rights are reserved by Khdim Mouna DOI: 10.19080/GJO.2019.20.556032 Congenital Laryngeal Cyst Khdim Mouna*, Douimi Loubna, Choukry Karim, Rouadi Sami, Abada Reda, Roubal Mohammed and Mahtar Mohammed EN Department 20 august 1953 Hospital, Casablanca, Morocco Submission: May 24, 2019; Published: June 04, 2019 *Corresponding author: Khdim Mouna, EN Department 20 august 1953 Hospital, Casablanca, Morocco Abstract Benign congenital laryngeal cysts are a rare clinical entity, with potential for severe airway obstruction, leading sometimes to severe In this report, a 10-month-old infant with a severe respiratory distress caused by congenital laryngeal cyst is presented. respiratory distress and death. They oftenly arise from the vallecula, the aryepiglottic fold, and the saccule ventricle, and rarely from the epiglottis. Keywords: Congenital Laryngeal Cyst; Respiratory Distress; Stridor Introduction Congenital laryngeal cysts are rare, but easily managed once the diagnosis is made. Delay in making a correct diagnosis may lead to serious and fatal consequences. Clinical presentation consists of inspiratory stridor, and varying degrees of upper airway obstruction that usually present soon after birth or during by laryngoscopy. In fact, there is no consensus on the optimal the first weeks or mouths of life. They are usually diagnosed treatment, however several surgical procedures are proposed: endoscopic excision, needle aspiration, de-roofing, external describes the case of 10 mouths year old infant with a severe laryngofissure, and lateral pharyngotomy. The following report airway distress and stridor caused by a congenital laryngeal cyst. -
Stridor in the Newborn
Stridor in the Newborn Andrew E. Bluher, MD, David H. Darrow, MD, DDS* KEYWORDS Stridor Newborn Neonate Neonatal Laryngomalacia Larynx Trachea KEY POINTS Stridor originates from laryngeal subsites (supraglottis, glottis, subglottis) or the trachea; a snoring sound originating from the pharynx is more appropriately considered stertor. Stridor is characterized by its volume, pitch, presence on inspiration or expiration, and severity with change in state (awake vs asleep) and position (prone vs supine). Laryngomalacia is the most common cause of neonatal stridor, and most cases can be managed conservatively provided the diagnosis is made with certainty. Premature babies, especially those with a history of intubation, are at risk for subglottic pathologic condition, Changes in voice associated with stridor suggest glottic pathologic condition and a need for otolaryngology referral. INTRODUCTION Families and practitioners alike may understandably be alarmed by stridor occurring in a newborn. An understanding of the presentation and differential diagnosis of neonatal stridor is vital in determining whether to manage the child with further observation in the primary care setting, specialist referral, or urgent inpatient care. In most cases, the management of neonatal stridor is outside the purview of the pediatric primary care provider. The goal of this review is not, therefore, to present an exhaustive review of causes of neonatal stridor, but rather to provide an approach to the stridulous newborn that can be used effectively in the assessment and triage of such patients. Definitions The neonatal period is defined by the World Health Organization as the first 28 days of age. For the purposes of this discussion, the newborn period includes the first 3 months of age. -
Laryngomalacia: Disease Presentation, Spectrum, and Management
Hindawi Publishing Corporation International Journal of Pediatrics Volume 2012, Article ID 753526, 6 pages doi:10.1155/2012/753526 Review Article Laryngomalacia: Disease Presentation, Spectrum, and Management April M. Landry1 and Dana M. Thompson2 1 Department of Otolaryngology, Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, AZ 85054, USA 2 Division of Pediatric Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Mayo Clinic Children’s Center and Mayo Eugenio Litta Children’s Hospital, Mayo Clinic Rochester, 200 First Street SW, Gonda 12, Rochester, MN 55905, USA Correspondence should be addressed to Dana M. Thompson, [email protected] Received 10 August 2011; Accepted 23 November 2011 Academic Editor: Jeffrey A. Koempel Copyright © 2012 A. M. Landry and D. M. Thompson. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Laryngomalacia is the most common cause of stridor in newborns, affecting 45–75% of all infants with congenital stridor. The spectrum of disease presentation, progression, and outcomes is varied. Identifying symptoms and patient factors that influence disease severity helps predict outcomes. Findings. Infants with stridor who do not have significant feeding-related symptoms can be managed expectantly without intervention. Infants with stridor and feeding-related symptoms benefit from acid suppression treatment. Those with additional symptoms of aspiration, failure to thrive, and consequences of airway obstruction and hypoxia require surgical intervention. The presence of an additional level of airway obstruction worsens symptoms and has a 4.5x risk of requiring surgical intervention, usually supraglottoplasty. -
Series of Laryngomalacia, Tracheomalacia, and Bronchomalacia Disorders and Their Associations with Other Conditions in Children
Pediatric Pulmonology 34:189-195 (2002) Series of Laryngomalacia, Tracheomalacia, and Bronchomalacia Disorders and Their Associations With Other Conditions in Children I.B. Masters, MBBS, FRACP,1* A.B. Chang, PhD, FRACP,2 L. Patterson, MBBS, FANZCAC,1 С Wainwright, MD, FRACP,1 H. Buntain, MBBS,1 B.W. Dean, MSC,1 and P.W. Francis, MD, FRACP1 Summary. Laryngomalacia, bronchomalacia, and tracheomalacia are commonly seen in pediatric respiratory medicine, yet their patterns and associations with other conditions are not well-understood. We prospectively video-recorded bronchoscopic data and clinical information from referred patients over a 10-year period and defined aspects of interrelationships and associations. Two hundred and ninety-nine cases of malacia disorders (34%) were observed in 885 bronchoscopic procedures. Cough, wheeze, stridor, and radiological changes were the most common symptoms and signs. The lesions were most often found in males (2:1) and on the left side (1.6:1). Concomitant malacia lesions ranged from 24%forlaryngotracheobronchomalaciato 47% for tracheobronchomalacia. The lesions were found in association with other disorders such as congenital heart disorders (13.7%), tracheo-esophageal fistula (9.6%), and various syndromes (8%). Even though the understanding of these disorders is in its infancy, pediatricians should maintain a level of awareness for malacia lesions and consider the possibility of multiple lesions being present, even when one symptom predominates or occurs alone. Pediatr Pulmonol Pediatr Pulmonol. 2002; 34:189-195. © 2002 wiiey-Liss. inc. Key words: laryngomalacia; tracheomalacia; bronchomalacia; malacia disorders; syndromes. INTRODUCTION The aim of this report is to describe an extensive experience of various forms of laryngomalacia, tracheo Tracheomalacia, bronchomalacia, and laryngomalacia malacia, and bronchomalacia and explore some of the disorders are commonly seen in tertiary pediatric respira interrelationships that exist between these conditions with tory practice. -
PDF Hosted at the Radboud Repository of the Radboud University Nijmegen
PDF hosted at the Radboud Repository of the Radboud University Nijmegen The following full text is a publisher's version. For additional information about this publication click this link. https://hdl.handle.net/2066/226629 Please be advised that this information was generated on 2021-09-26 and may be subject to change. OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY NECK AND HEAD AND LARYNGOLOGY IN SURGERY ENDOSCOPIC OFFICE-BASED OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY IMPROVING QUALITY OF CARE AND EFFICIENCY THROUGH INNOVATIVE TECHNIQUES DAVID WELLENSTEIN J. DAVID DAVID J. WELLENSTEIN OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY NECK AND HEAD AND LARYNGOLOGY IN SURGERY ENDOSCOPIC OFFICE-BASED OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY IMPROVING QUALITY OF CARE AND EFFICIENCY THROUGH INNOVATIVE TECHNIQUES DAVID WELLENSTEIN J. DAVID DAVID J. WELLENSTEIN OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY IMPROVING QUALITY OF CARE AND EFFICIENCY THROUGH INNOVATIVE TECHNIQUES David J. Wellenstein 549724-L-sub01-bw-Wellenstein Processed on: 21-10-2020 PDF page: 1 Office-based endoscopic surgery in laryngology and head and neck oncology Improving quality of care and efficiency through innovative techniques David Jonathan Wellenstein ISBN XXXX Copyright © David J. Wellenstein, 2020 Design by Bregje Jaspers, ProefschriftOntwerp.nl Printed by Ipskamp drukkers Printing of this thesis was financially supported by: Pentax Medical, Soluvos Medical, Lumenis, Medical Disposables Store, Laservision, Mylan, Atos Medical, ALK and Radboud university medical center/Radboud University Nijmegen 549724-L-sub01-bw-Wellenstein Processed on: 21-10-2020 PDF page: 2 OFFICE-BASED ENDOSCOPIC SURGERY IN LARYNGOLOGY AND HEAD AND NECK ONCOLOGY IMPROVING QUALITY OF CARE AND EFFICIENCY THROUGH INNOVATIVE TECHNIQUES Proefschrift ter verkrijging van de graad van doctor aan de Radboud Universiteit Nijmegen op gezag van de rector magnificus prof. -
ATS Technical Standards: Flexible Airway Endoscopy in Children
AMERICAN THORACIC SOCIETY DOCUMENTS Official American Thoracic Society Technical Standards: Flexible Airway Endoscopy in Children Albert Faro, Robert E. Wood, Michael S. Schechter, Albin B. Leong, Eric Wittkugel, Kathy Abode, James F. Chmiel, Cori Daines, Stephanie Davis, Ernst Eber, Charles Huddleston, Todd Kilbaugh, Geoffrey Kurland, Fabio Midulla, David Molter, Gregory S. Montgomery, George Retsch-Bogart, Michael J. Rutter, Gary Visner, Stephen A. Walczak, Thomas W. Ferkol, and Peter H. Michelson; on behalf of the American Thoracic Society Ad Hoc Committee on Flexible Airway Endoscopy in Children THESE OFFICIAL TECHNICAL STANDARDS OF THE AMERICAN THORACIC SOCIETY (ATS) WERE APPROVED BY THE ATS BOARD OF DIRECTORS,JANUARY 2015 Background: Flexible airway endoscopy (FAE) is an accepted and Results: There is a paucity of randomized controlled trials in frequently performed procedure in the evaluation of children with pediatric FAE. The committee developed recommendations based known or suspected airway and lung parenchymal disorders. predominantly on the collective clinical experience of our committee However, published technical standards on how to perform FAE in members highlighting the importance of FAE-specific airway children are lacking. management techniques and anesthesia, establishing suggested competencies for the bronchoscopist in training, and defining areas Methods: The American Thoracic Society (ATS) approved the deserving further investigation. formation of a multidisciplinary committee to delineate technical standards for