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https://www.readbyqxmd.com/read/27729141/early-surgical-intervention-in-type-i-laryngeal-cleft
#1
Kristine E Day, Nicholas J Smith, Brian D Kulbersh
OBJECTIVE: Diagnosis and treatment of type 1 laryngeal clefts remains a challenge. The purpose of this study is to determine if early surgical intervention in type I laryngeal clefts improves outcomes. METHODS: A retrospective case series was conducted at an academic tertiary care children's hospital. 18 children undergoing early (≤3 months from diagnosis) surgical intervention for type I laryngeal cleft repair between August of 2012 and December 2014. Data was compiled through a manual chart review...
November 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27636982/beyond-dilation-current-concepts-in-endoscopic-airway-stenting-and-reconstruction
#2
Sharon H Gnagi, David R White
PURPOSE OF REVIEW: To discuss current modalities of endoscopic airway management beyond balloon dilation therapy. RECENT FINDINGS: Advances continue to be made through technology and bioengineering with exciting potential in the pediatric airway. Smaller robots and instrumentation allow increased endoscopic surgical success. Biodegradable stents and bioengineered grafts are on the horizon for use in airway surgery. Dysphonia following airway reconstruction is of increasing recognition with new endoscopic treatments being performed...
December 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27619036/radiation-exposure-from-videofluoroscopic-swallow-studies-in-children-with-a-type-1-laryngeal-cleft-and-pharyngeal-dysphagia-a-retrospective-review
#3
Cheryl Hersh, Carissa Wentland, Sarah Sally, Marie de Stadler, Steven Hardy, M Shannon Fracchia, Bob Liu, Christopher Hartnick
INTRODUCTION: Radiation exposure is recognized as having long term consequences, resulting in increased risks over the lifetime. Children, in particular, have a projected lifetime risk of cancer, which should be reduced if within our capacity. The objective of this study is to quantify the amount of ionizing radiation in care for children being treated for aspiration secondary to a type 1 laryngeal cleft. With this baseline data, strategies can be developed to create best practice pathways to maintain quality of care while minimizing radiation exposure...
October 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27575446/laryngeal-cleft
#4
Rose J Eapen, Brad M Taicher, Eric Benner, Kelly Machovec
No abstract text is available yet for this article.
August 30, 2016: Anesthesiology
https://www.readbyqxmd.com/read/27414807/airway-complications-during-and-after-general-anesthesia-a-comparison-systematic-review-and-meta-analysis-of-using-flexible-laryngeal-mask-airways-and-endotracheal-tubes
#5
Rui Xu, Ying Lian, Wen Xian Li
OBJECTIVE: Flexible laryngeal mask airways (FLMAs) have been widely used in thyroidectomy as well as cleft palate, nasal, upper chest, head and neck oncoplastic surgeries. This systematic review aims to compare the incidence of airway complications that occur during and after general anesthesia when using the FLMA and endotracheal intubation (ETT). We performed a quantitative meta-analysis of the results of randomized trials. METHODS: A comprehensive search of the PubMed, Embase and Cochrane Library databases was conducted using the key words "flexible laryngeal mask airway" and "endotracheal intubation"...
2016: PloS One
https://www.readbyqxmd.com/read/27382820/retrograde-intubation-via-laryngeal-mask-airway-in-a-paediatric-patient-with-fallot-type-ventricular-septal-defect-and-cleft-palate-deformity
#6
Taner Ciftci, Serkan Erbatur
We report the case ofa pediatric patient with tetralogy of Fallot (TOF) and cleft palate deformity with difficult intubation in which a laryngeal mask airway (LMA) was used and converted into an endotracheal tube through retrograde intubation. The patient with TOF was scheduled for repair of the congenital bilateral cleft lip and palate. Inhalational induction with 4% sevoflurane was started. Conventional tracheal intubation was impossible because the patient had a difficult airway, and the procedure could cause severe cyanosis and respiratory distress...
February 2016: Middle East Journal of Anesthesiology
https://www.readbyqxmd.com/read/27356238/modified-best-practice-algorithm-to-reduce-the-number-of-postoperative-videofluoroscopic-swallow-studies-in-patients-with-type-1-laryngeal-cleft-repair
#7
Carissa Wentland, Cheryl Hersh, Sarah Sally, M Shannon Fracchia, Steven Hardy, Bob Liu, Jordan A Garcia, Christopher J Hartnick
IMPORTANCE: There is no consensus as to the timing of videofluoroscopic swallow studies (VFSSs) in determining resolving aspiration after laryngeal cleft repair. There is a growing literature on the effect of radiation exposure in children. OBJECTIVE: To modify a previously published best-practice algorithm based on a literature review and our clinical experience to maintain the quality of care provided after successful type 1 laryngeal cleft repair, while reducing the total number of postoperative VFSSs by 10% or greater...
September 1, 2016: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/27320495/transoral-robotic-surgery-for-upper-airway-pathology-in-the-pediatric-population
#8
Carlton J Zdanski, Grace K Austin, Jonathan M Walsh, Amelia F Drake, Austin S Rose, Trevor G Hackman, Adam M Zanation
OBJECTIVES/HYPOTHESIS: The purpose of this study is to present one of the largest case series of pediatric transoral robotic surgery (TORS) in the upper airway demonstrating a wide range of ages and indications. STUDY DESIGN: A retrospective case series at an academic tertiary referral center from August 2010 to September 2014. METHODS: The da Vinci surgical robot (Intuitive Surgical, Inc., Sunnyvale, CA) was used on 16 pediatric patients for 18 procedures...
June 19, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27312855/microcephalic-osteodysplastic-primordial-dwarfism-type-1
#9
Steven Ferrell, Aaron Johnson, Waylon Pearson
Microcephalic osteodysplastic primordial dwarfism type 1 (MOPD1) is an uncommon cause of microcephaly and intrauterine growth retardation in a newborn. Early identifying features include but are not limited to sloping forehead, micrognathia, sparse hair, including of eyebrows and short limbs. Immediate radiological findings may include partial or complete agenesis of the corpus callosum, interhemispheric cyst and shallow acetabula leading to dislocation. Genetic testing displaying a mutation in RNU4ATAC gene is necessary for definitive diagnosis...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27172174/outcomes-and-predictors-of-surgical-management-in-type-1-laryngeal-cleft-swallowing-dysfunction
#10
Prasad John Thottam, Matthew Georg, David Chi, Deepak K Mehta
OBJECTIVES/HYPOTHESIS: To examine the effect of and predict the success of type 1 laryngeal cleft (LC-1) augmentation through swallowing evaluations. STUDY DESIGN: Retrospective chart analysis. METHODS: Sixty-eight patients with LC-1s underwent interarytenoid injection laryngoplasty (IL) and were examined. The median age at IL was 9 months. Swallowing evaluations were performed pre- and postoperatively using fiberoptic endoscopic examination of swallowing or modified barium swallow...
May 12, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27070536/anterior-laryngofissure-approach-in-type-iii-laryngotracheal-cleft-a-case-report
#11
A E Arslankoylu, M Unal, N Kuyucu, O Ismi
Laryngeal and laryngotracheal clefts are rare congenital malformations of the laryngobronchial tree. Their symptoms vary from mild cough to life threatening pulmonary aspiration and cyanosis. Type I and II clefts can be observed without surgical intervention, whereas type III and IV clefts usually require an anterior or lateral cervical approach. We present a case of type III laryngotracheal cleft seen in a 3-monthold male infant who died during revision surgery after an anterior laryngofissure approach. We discussed the difficulties in diagnosis, management and importance of anaesthesia for these rare anomalies in light of the current literature...
December 29, 2015: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/27066427/congenital-bilateral-saccular-cysts-and-bifid-epiglottis-presentation-and-management
#12
Rawan Arif, Talal Al-Khatib, Razan Daghistani, Maher Shalabi
Saccular disorders are rare representing only 1.5 % of all laryngeal anomalies. Bifid epiglottis is also an extremely rare congenital anomaly that usually occurs in a syndromic picture in association with other anomalies such as polydactyly, cleft palate and micrognathia, which are seen in Pallister-Hall Syndrome and rarely with other syndromes. We report a case of bilateral saccular cysts and bifid epiglottis in a full term neonate presenting with stridor. The patient's other congenital anomalies included microretrognathia, short neck, polydactyly of four extremities and hypospadias...
March 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27049674/advances-in-the-diagnosis-management-and-treatment-of-neonates-with-laryngeal-disorders
#13
REVIEW
William J Parkes, Evan J Propst
Neonatal airway obstruction due to laryngeal pathology may cause significant morbidity and even mortality. The most frequently occurring etiologies anatomically from superiorly to inferiorly include: laryngomalacia, saccular cyst, vocal fold paralysis, anterior glottic web, laryngeal atresia, laryngeal cleft, subglottic stenosis, and subglottic hemangioma. The pathophysiology, presentation, and treatment options for each of these entities are discussed with a focus on a multidisciplinary, evidence-based approach...
August 2016: Seminars in Fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26857313/swallowing-dysfunction-among-patients-with-laryngeal-cleft-more-than-just-aspiration
#14
Julie E Strychowsky, Pamela Dodrill, Ethan Moritz, Jennifer Perez, Reza Rahbar
BACKGROUND: The Modified Barium Swallow (MBS) is the most widely utilized instrumental assessment of swallowing disorders in children; however, the exact role in the evaluation of laryngeal clefts remains controversial. METHODS: This study was an IRB-approved retrospective review on patients diagnosed with laryngeal cleft from 2002 to 2014. The objective was to describe the range of swallowing dysfunction that may be present in patients with laryngeal clefts both pre- and post-intervention (conservative management versus surgery)...
March 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26810279/the-prevalence-of-airway-problems-in-children-with-down-s-syndrome
#15
Jane Hamilton, May Maxime Corazon Yaneza, William Andrew Clement, Haytham Kubba
AIM: Airway disorders are common in children with Down's syndrome. We report the findings on airway endoscopy in a birth cohort of children from a well-defined geographical area, in order to estimate true population prevalence of airway problems in children with Down's syndrome. METHOD: Retrospective case note review over a 20-year period between 1993 and 2013 for all children in Greater Glasgow born with Down's syndrome, identified through the hearing surveillance programme...
February 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26522198/fraser-syndrome
#16
Adnan Aslam Saleem, Sorath Noorani Siddiqui
Fraser's Syndrome (FS) is a rare autosomal recessive disorder with a spectrum of malformations. The most consistent features are Cryptophthalmos (CO), syndactyly, genitourinary tract abnormalities, laryngeal and tracheal anomalies, craniofacial dysmorphism, malformations of the ear and nose, orofacial clefting and musculoskeletal defects. FS is genetically heterogeneous; so far mutations in FRAS1, FREM2 and GRIP1 genes have been linked to FS. FS can be diagnosed on clinical examination, pre-natal ultrasound or perinatal autopsy...
October 2015: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/26381290/laryngeal-penetration-on-videofluoroscopic-swallowing-study-is-associated-with-increased-pneumonia-in-children
#17
Joshua Gurberg, Rena Birnbaum, Sam J Daniel
OBJECTIVES: To determine whether children with laryngeal penetration on videofluoroscopic swallowing study are at higher risk for pneumonia than those with normal findings. METHODS: We reviewed the charts of 235 pediatric patients presenting to our Swallowing and Dysphagia clinic for videofluoroscopic swallowing study over a 3-year period. Patients with unsuccessful swallowing studies, incomplete charts, extra-laryngeal etiologies for recurrent pneumonia, or who were lost to follow up were excluded...
November 2015: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26277012/characterization-methods-for-the-detection-of-multiple-voice-disorders-neurological-functional-and-laryngeal-diseases
#18
Juan Rafael Orozco-Arroyave, Elkyn Alexander Belalcazar-Bolaños, Julián David Arias-Londoño, Jesús Francisco Vargas-Bonilla, Sabine Skodda, Jan Rusz, Khaled Daqrouq, Florian Hönig, Elmar Nöth
This paper evaluates the accuracy of different characterization methods for the automatic detection of multiple speech disorders. The speech impairments considered include dysphonia in people with Parkinson's disease (PD), dysphonia diagnosed in patients with different laryngeal pathologies (LP), and hypernasality in children with cleft lip and palate (CLP). Four different methods are applied to analyze the voice signals including noise content measures, spectral-cepstral modeling, nonlinear features, and measurements to quantify the stability of the fundamental frequency...
November 2015: IEEE Journal of Biomedical and Health Informatics
https://www.readbyqxmd.com/read/26276910/an-update-on-diagnosis-of-tracheomalacia-in-children
#19
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/26040049/type-i-ii-laryngeal-cleft-clinical-course-and-outcome
#20
Guy Slonimsky, Eldar Carmel, Michael Drendel, Noga Lipschitz, Michael Wolf
BACKGROUND: Laryngeal cleft (LC) is a rare congenital anomaly manifesting in a variety of symptoms, including swallowing disorders and aspirations, dyspnea, stridor and hoarseness. The mild forms (types I-II) may be underdiagnosed, leading to protracted symptomatology and morbidity. OBJECTIVES: To evaluate the diagnostic process, clinical course, management and outcome in children with type I-II laryngeal clefts. METHODS: We conducted a retrospective case analysis for the years 2005-2012 in a tertiary referral center...
April 2015: Israel Medical Association Journal: IMAJ
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