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Bronchomalacia

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https://www.readbyqxmd.com/read/27863648/biodegradable-airway-stents-in-infants-potential-life-threatening-pitfalls
#1
B Sztanó, G Kiss, K Márai, G Rácz, I Szegesdi, K Rácz, G Katona, L Rovó
OBJECTIVE: The solution of severe tracheobronchial obstructions in early childhood means a great challenge. Biodegradable stents were intended to be a minimally invasive temporary solution which may decrease the number of interventions and limit the possible complications of stenting procedures. However, our first experiences have brought out a new, - especially in childhood - potentially life-threatening complication of this concept. METHODS: Five SX-ELLA biodegradable polydioxanone stents was applied in three patients because of severe tracheobronchial obstruction: congenital tracheomalacia (7 day-old), acquired tracheomalacia (10 month-old), and congenital trachea-bronchomalacia (10 month-old)...
December 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27738187/chitayat-syndrome-hyperphalangism-characteristic-facies-hallux-valgus-and-bronchomalacia-results-from-a-recurrent-c-266a-g-p-tyr89cys-variant-in-the-erf-gene
#2
M Balasubramanian, H Lord, S Levesque, H Guturu, F Thuriot, G Sillon, A M Wenger, D L Sureka, T Lester, D S Johnson, J Bowen, A R Calhoun, D H Viskochil, G Bejerano, J A Bernstein, D Chitayat
BACKGROUND: In 1993, Chitayat et al., reported a newborn with hyperphalangism, facial anomalies, and bronchomalacia. We identified three additional families with similar findings. Features include bilateral accessory phalanx resulting in shortened index fingers; hallux valgus; distinctive face; respiratory compromise. OBJECTIVES: To identify the genetic aetiology of Chitayat syndrome and identify a unifying cause for this specific form of hyperphalangism. METHODS: Through ongoing collaboration, we had collected patients with strikingly-similar phenotype...
October 13, 2016: Journal of Medical Genetics
https://www.readbyqxmd.com/read/27722899/types-of-laryngomalacia-in-children-interrelationship-between-clinical-course-and-comorbid-conditions
#3
Beata Kusak, Ewa Cichocka-Jarosz, Urszula Jedynak-Wasowicz, Grzegorz Lis
The aim of this study was to: (1) find out whether laryngomalacia (LM) types are related to clinical course; (2) which patients with LM are at higher risk of other airway malacia [tracheomalacia (TM) and/or bronchomalacia (BM)]; and (3) evaluate the prevalence of LM in our region. Patients with established LM diagnosis and complete clinical and endoscopy records were enrolled. They were classified into different LM types according to classification based on the side of supraglottic obstruction. One hundred ten children were included...
October 8, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27641078/a-comparison-of-virtual-bronchoscopy-versus-flexible-bronchoscopy-in-the-diagnosis-of-tracheobronchomalacia-in-children
#4
Siew Choo Su, Ian Brent Masters, Helen Buntain, Kieran Frawley, Anubhav Sarikwal, Debbie Watson, Frances Ware, Jan Wuth, Anne Bernadette Chang
INTRODUCTION: Flexible bronchoscopy (FB) is the current gold standard for diagnosing tracheobronchomalacia. However, it is not always feasible and virtual bronchoscopy (VB), acquired from chest multi-detector CT (MDCT) scan is an alternative diagnostic tool. We determined the sensitivity, specificity, and positive and negative predictive values of VB compared to FB in diagnosing tracheobronchomalacia. METHODS: Children aged <18-years scheduled for FB and MDCT were recruited...
September 18, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27579200/a-case-of-the-tof-with-apv-complicated-with-polyhydramnios-and-severe-bronchomalacia
#5
Ali Seven, Emine Esin Yalinbas, Rahmi Ozdemir
Absent pulmonary valve syndrome (APVS) is a rare congenital heart disease with severe pulmonary insufficiency, characterized with aneurysmal dilation in the pulmonary artery and one or both of its branches. We presented a rare case with APVS and literature review in this letter. Prenatal USG examination of the fetus at the 26th week of gestation revealed severe polyhydramnios, dilatation at right ventricle, and abnormal appearance of the heart. At the 31st gestational week, the baby was born with cesarean section...
2016: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27567981/-cpap-interest-in-help-of-mucus-clearance-in-tracheo-bronchomalacia-outpatients
#6
D Billet, É Bernu
The patients suffering of trachea bronchial dyskinesia in a context of trachea bronchomalacia present an important decrease of the expiratory flow during the Forced Expiration Techniques, and during the cough, returning difficult mucus clearance. The use of CPAP for these patients as a pneumatic prothesis can bring a considerable help during the chest physiotherapy techniques, avoiding the tracheobronchial collapse. The objectivation of the efficiency of this technique through a clinical case, its ease of application and control, allows us to propose the attempt of this additive help when the indication and the contraindications are clearly defined...
October 2016: Revue de Pneumologie Clinique
https://www.readbyqxmd.com/read/27343517/direct-tracheobronchopexy-and-posterior-descending-aortopexy-for-severe-left-mainstem-bronchomalacia-associated-with-congenital-pulmonary-airway-malformation-and-left-circumflex-aortic-arch
#7
Christopher W Baird, Sanjay Prabhu, Terry L Buchmiller, Charles Smithers, Russell Jennings
Complex tracheobronchial obstruction and malacia can be associated with conotruncal and aortic arch anomalies. A circumflex aortic arch composed of a left aortic arch and right descending aorta is an extremely rare anomaly that can severely affect the distal trachea and mainstem bronchi, resulting in severe respiratory symptoms. We report the case of a patient with circumflex aortic arch and severe left mainstem bronchial obstruction and malacia in which the external aortic compression and residual bronchomalacia were addressed with direct bronchial and tracheal intervention...
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27301603/vascular-rings
#8
Carl L Backer, Michael C Mongé, Andrada R Popescu, Osama M Eltayeb, Jeffrey C Rastatter, Cynthia K Rigsby
The term vascular ring refers to congenital vascular anomalies of the aortic arch system that compress the esophagus and trachea, causing symptoms related to those two structures. The most common vascular rings are double aortic arch and right aortic arch with left ligamentum. Pulmonary artery sling is rare and these patients need to be carefully evaluated for frequently associated tracheal stenosis. Another cause of tracheal compression occurring only in infants is the innominate artery compression syndrome...
June 2016: Seminars in Pediatric Surgery
https://www.readbyqxmd.com/read/26942029/postobstructive-pulmonary-edema-following-tonsillectomy-adenoidectomy-in-a-2-year-old-with-poland-moebius-syndrome
#9
Tanisha Powell, Nirupma Sharma, Kathleen T McKie
A 2-year-old male with Poland-Moebius syndrome was transferred from a local hospital to the Pediatric ICU at Children's Hospital of Georgia for suspected postobstructive pulmonary edema (POPE) after tonsillectomy/adenoidectomy (T&A). The patient's respiratory status ultimately declined and he developed respiratory failure. Imaging suggested pulmonary edema as well as a left-sided pneumonia. Echocardiogram showed pulmonary hypertension and airway exam via direct fiberoptic bronchoscopy revealed tracheomalacia and bronchomalacia...
2016: Case Reports in Otolaryngology
https://www.readbyqxmd.com/read/26682632/severe-pediatric-bronchomalacia
#10
Anthony M-H Ho, Andrea Winthrop, Edmund F Jones, Michael P Flavin
No abstract text is available yet for this article.
June 2016: Anesthesiology
https://www.readbyqxmd.com/read/26584412/initial-experience-with-a-new-biodegradable-airway-stent-in-children-is-this-the-stent-we-were-waiting-for
#11
Juan L Antón-Pacheco, Carmen Luna, Enrique García, María López, Rocío Morante, Cristina Tordable, Alba Palacios, Mónica de Miguel, Isabel Benavent, Andrés Gómez
OBJECTIVE: To report our experience with a new type of biodegradable airway stent in the setting of severe tracheobronchial obstruction in children. DESIGN AND METHODOLOGY: We conducted a retrospective and prospective (since June 2014) study of pediatric patients with severe airway obstruction treated with biodegradable stents in our institution between 2012 and 2015. The following data were collected: demographics, indication for stenting, bronchoscopic findings, insertion technique complications, clinical outcome, stent related complications, re-stenting, and time of follow-up...
June 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26276910/an-update-on-diagnosis-of-tracheomalacia-in-children
#12
REVIEW
Deborah Snijders, Angelo Barbato
Congenital tracheomalacia is the most common congenital tracheal abnormality and occurs in approximately 1:2,100 children. Tracheomalacia can be isolated or associated with other airway anomalies such as laryngomalacia, bronchomalacia, and large laryngeal clefts. Also, an abnormal division of the embryonic foregut is frequently associated with congenital tracheomalacia; mostly in the form of proximal esophageal atresia with distal tracheoesophageal fistula. In such cases, the ratio between the cartilage ring and the posterior membranous wall drops from the normal ratio of 4 to 5:1 to 2 to 3:1...
August 2015: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26092502/aortic-arch-geometry-after-the-norwood-procedure-the-value-of-arch-angle-augmentation
#13
Tomomi Hasegawa, Yoshihiro Oshima, Ayako Maruo, Hironori Matsuhisa, Akiko Tanaka, Rei Noda, Shunsuke Matsushima
OBJECTIVE: Aortic arch reconstruction in the Norwood procedure is occasionally associated with postoperative airway and branch pulmonary artery stenosis, as well as recoarctation. This study investigated geometric changes in the aortic arch after the Norwood procedure and evaluated the efficacy of arch angle augmentation with glutaraldehyde-treated autologous pericardium in aortic arch reconstruction. METHODS: Of 52 consecutive patients who underwent the Norwood procedure between 1998 and 2013, a total of 36 patients who underwent postoperative multidetector-row computed tomographic angiography were reviewed retrospectively, and divided into 2 groups according to whether arch angle augmentation with glutaraldehyde-treated autologous pericardium was performed (AAA group, 26 patients) or not (NA group, 10 patients)...
August 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26003956/oki-stenting-for-anastomotic-bronchomalacia-in-lung-transplantation
#14
Daniel López-Padilla, Ricardo García-Luján, Alicia de Pablo, Eduardo de Miguel Poch
Anastomotic airway complications are a frequent cause of disease in lung transplantation. However, there is no consensus on the type of treatment to be performed with prosthetic devices. While some recent gadgets such as the Oki stent have been proposed for main right bronchus stenosis, there are no reports of stenting using this prosthesis in cases where the main complication is malacia rather than stenosis. We present 2 patients diagnosed with main right bronchus bronchomalacia, also involving bronchius intermedius...
September 2015: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/25810332/airway-complications-after-single-stage-unifocalization-for-pulmonary-atresia-ventricular-septal-defect-and-major-aortopulmonary-collateral-arteries
#15
Gianluigi Perri, Sonia B Albanese, Adriano Carotti
OBJECTIVE: We analyze the incidence of postoperative severe airflow limitation after single-stage unifocalization in patients with pulmonary atresia, ventricular septal defect, and major aortopulmonary collateral arteries (PA/VSD/MAPCAs) and comment on the treatment performed. METHODS: From 1994 until 2014, 118 patients with diagnosis of PA, VSD, MAPCAs underwent surgical treatment. Four patients (3.4%) developed severe airflow complications postoperatively. Chromosome 22q11 deletion was present in three of them...
May 2015: Journal of Cardiac Surgery
https://www.readbyqxmd.com/read/25443004/incidence-and-management-of-anastomotic-complications-after-bronchial-resection-a-retrospective-study
#16
Olivier Bylicki, Thomas Vandemoortele, Bastien Orsini, Sophie Laroumagne, Xavier Benoit D'Journo, Philippe Astoul, Pascal-Alexandre Thomas, Hervé Dutau
BACKGROUND: Bronchial resection and reimplantation in surgical management of lung cancer is intended to spare lung parenchyma, with curative intent. We studied the incidence and management of anastomotic complications after such procedures. METHODS: We retrospectively reviewed charts of patients referred to our center for lung tumors who underwent bronchial resection and reimplantation from 1992 to 2011. RESULTS: A total of 108 patients were included...
December 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/25371143/isolated-severe-bilateral-bronchomalacia-correspondence
#17
LETTER
Vijayasekaran Dharmalingam, Shanthi Ramesh
No abstract text is available yet for this article.
April 2015: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/25356175/clinical-features-of-airway-malacia-in-children-a-retrospective-analysis-of-459-patients
#18
Wei Pan, Donghong Peng, Jian Luo, Enmei Liu, Zhengxiu Luo, Jihong Dai, Zhou Fu, Qubei Li, Ying Huang
AIM: To investigate the clinical features of airway malacia in children. MATERIAL AND METHODS: A comprehensive analysis was done on information of 459 young patients with airway malacia. RESULTS: Number of children with tracheomalacia, tracheobronchomalacia, and bronchomalacia was 7 (1.5%), 17 (3.7%), and 435 (94.8%), respectively. Incidence of bronchomalacia in left lung was 11.0% (n=48), while that of right lung was 53.3% (n=232). Meanwhile, bronchomalacia of both lungs were noticed in 155 children (35...
2014: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25338493/isolated-severe-bilateral-bronchomalacia-authors-reply
#19
LETTER
Bhaskar Saikia, Pradeep Kumar Sharma, Rachna Sharma, Vikram Gagneja, Praveen Khilnani
No abstract text is available yet for this article.
April 2015: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/25316892/late-onset-pompe-disease-with-left-sided-bronchomalacia
#20
Chia-Feng Yang, Dau-Ming Niu, Mei-Jy Jeng, Yu-Sheng Lee, Pei-Chen Taso, Wen-Jue Soong
Pompe disease is a rare autosomal recessive disorder caused by α-glucosidase deficiency. Lower airway involvement and management are rare in patients with late-onset Pompe disease. We describe the case of a 16-y-old girl with late-onset Pompe disease who presented with obvious progressive deterioration in respiratory function. Pulmonary hypertension was also apparent on echocardiography. She had been on enzyme replacement therapy and nighttime CPAP ventilation for several years. Flexible bronchoscopy was used for diagnosis and subsequent implantation of a bronchial airway stent...
February 2015: Respiratory Care
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