keyword
https://read.qxmd.com/read/34987759/double-aortic-arch-a-rare-cause-of-stridor-in-infants
#21
Youssef Aladham, Quentin Bonduelle, John Yaro, Omar Ahmed
Double aortic arch is the most common vascular ring anomaly. It usually presents with symptoms related to tracheal and oesophageal compression. The constricting vascular ring may lead to stridor in infants and young children, which could be mistaken for upper respiratory tract infections or foreign body aspiration. It is therefore prudent to have a high index of suspicion when evaluating cases of paediatric stridor. Contrast-enhanced computed tomography and cardiac magnetic resonance imaging are the diagnostic modalities of choice to investigate vascular rings...
December 2021: Journal of Surgical Case Reports
https://read.qxmd.com/read/34838327/synchronous-airway-lesions-in-children-with-severe-progressive-and-atypical-laryngomalacia-experience-of-a-uk-tertiary-referral-centre
#22
JOURNAL ARTICLE
Natalia Glibbery, Rujuta Roplekar Bance, Nicolaas Jonas, Jessica Bewick
OBJECTIVES: Laryngomalacia is the commonest cause of stridor in the paediatric population. Whilst usually self-limiting, studies have suggested that the presence of synchronous airway lesions (SALs) might be associated with more severe clinical presentation and additional morbidity. However, evidence in the literature is scarce, contributing to controversy regarding the appropriate investigation and management of children with laryngomalacia. The aim of this study was to explore the prevalence, clinical significance and risk factors of SALs in children with severe, progressive and atypical laryngomalacia symptoms...
January 2022: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/34795546/an-induction-programme-used-to-improve-confidence-general-practitioner-trainees-in-managing-hospital-ear-nose-and-throat-emergency-presentations
#23
JOURNAL ARTICLE
Anushree Kucheria, Johan Bastianpillai, Shaharyar Khan, Vikas Acharya
Introduction: General practitioners (GPs) encounter many adult and paediatric patients presenting with ear, nose and throat (ENT) complaints. There is a paucity of learning opportunities to develop knowledge and skills in ENT at undergraduate and postgraduate level. GP trainees starting an ENT rotation have very little prior experience, and therefore we recognise a need for an introduction through a focused induction programme. The aim of this study was to understand whether a GP trainee focussed induction programme can improve the confidence of these doctors in managing emergency hospital presentations in ENT...
2021: Advances in Medical Education and Practice
https://read.qxmd.com/read/34714957/anesthesia-for-children-with-anterior-mediastinal-masses
#24
REVIEW
Aileen Tan, Judith Anne Nolan
Children with an anterior mediastinal mass may have cardiopulmonary compromise that can be exacerbated under general anesthesia. Signs and symptoms such as cough, shortness of breath, stridor, orthopnea, accessory muscle use, a history of respiratory arrest, and the presence of a pleural effusion and upper body edema are predictive of perioperative complications. A larger mediastinal mass on imaging is predictive of perioperative complications. Risk stratification of patients, together with an individualized plan, will best guide operative management for patients with an anterior mediastinal mass...
January 2022: Paediatric Anaesthesia
https://read.qxmd.com/read/34632492/long-term-outcomes-in-children-undergoing-vascular-ring-division-a-multi-institution-experience
#25
JOURNAL ARTICLE
Di Yu, Zhangke Guo, Xin You, Wei Peng, Jirong Qi, Jian Sun, Kaihong Wu, Xiaofeng Li, Xuming Mo
OBJECTIVES: Vascular rings are rare anomalies of congenital heart disease that cause respiratory and gastrointestinal symptoms. This study assessed the long-term outcomes of patients with vascular ring division. METHODS: A multi-institution retrospective review of 371 patients with vascular rings undergoing surgical division at 3 paediatric cardiac institutions between November 2007 and October 2019 was performed. RESULTS: The complete vascular rings consisted of a double aortic arch (24...
February 18, 2022: European Journal of Cardio-thoracic Surgery
https://read.qxmd.com/read/34521741/croup-and-covid-19-in-a-child-a-case-report-and-literature-review
#26
REVIEW
Chee Chean Lim, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah
Croup (laryngotracheitis) is frequently encountered in the emergency department in a young child presenting with stridor. We describe a rare case of croup secondary to SARS-CoV-2 in an 18-month-old child who presented with stridor and respiratory distress and required urgent intubation. Subsequently, the child developed multisystem inflammatory syndrome in children (MIS-C). The child was monitored in paediatric intensive care unit. We would like to highlight that COVID-19 croup in children may be an indicator for MIS-C, and close monitoring is warranted as MIS-C is a life-threatening condition...
September 14, 2021: BMJ Case Reports
https://read.qxmd.com/read/34493558/recurrent-stridor-in-an-infant
#27
JOURNAL ARTICLE
Chien Ying Vincent Ngu, Jeyasakthy Saniasiaya, Jeyanthi Kulasegarah
Paediatric upper airway obstruction is an emergency that requires immediate intervention. Among the myriad factors that leads to upper airway obstruction in paediatric age group, bilateral vocal cord palsy is not commonly encountered in clinical practice. The underlying cause of bilateral vocal cord palsy requires thorough investigation prior to deciding on the appropriate intervention. Herein, we report a 4-month-old baby boy who presented with recurrent inspiratory stridor with bilateral vocal cord palsy secondary to Arnold Chiari II malformation...
September 7, 2021: BMJ Case Reports
https://read.qxmd.com/read/34380670/case-of-paediatric-relapsing-polychondritis-with-severe-airway-involvement-the-challenges-of-long-term-airway-and-respiratory-management
#28
JOURNAL ARTICLE
Trishul Kothari, Theodoros Valsamakis, Arani V Sridhar, Molla Imaduddin Ahmed
We describe a case of a 15-year-old girl diagnosed with relapsing polychondritis (RP) with involvement of the tracheobronchial tree, resulting in an increased difficulty in breathing, hoarseness of voice and stridor.Her case required the input of multiple specialities including ear, nose and throat, rheumatology, respiratory team and intensive care. Airway assessment and imaging showed glottic and subglottic stenosis and left bronchomalacia. Despite the use of steroids, cyclophosphamide and rituximab, her symptoms progressed and she was started on overnight non-invasive ventilation...
August 11, 2021: BMJ Case Reports
https://read.qxmd.com/read/34080535/cardiovascular-causes-of-tracheobronchial-compression-a-decade-experience-in-a-paediatric-congenital-heart-centre
#29
JOURNAL ARTICLE
Putri Yubbu, Haifa Abdul Latiff, Husna Musa, Navin Kumar Devaraj, Nurul Adha Mohd Razif, Sivakumar Sivalingam, Hasri Samion
BACKGROUND: Vascular compression of the airway often complicates CHD management. This study evaluated the use of CT in determining cardiovascular causes, clinical manifestations, and outcome of tracheobronchial compression among children with CHD. METHODS: A retrospective review of clinical records of all patients with CT scan evidence of tracheobronchial compression from January 2007 to December 2017 at National Heart Institute. Cardiovascular causes of tracheobronchial compression were divided into three groups; group I: vascular ring/pulmonary artery sling, II: abnormally enlarged or malposition cardiovascular structure due to CHD, III: post-CHD surgery...
June 3, 2021: Cardiology in the Young
https://read.qxmd.com/read/34044211/predictors-of-airway-intervention-in-acute-supraglottitis-as-a-recent-7-year-experience
#30
JOURNAL ARTICLE
Prince Vaid, Eric Farrell, Martin Donnelly
AIMS: Acute supraglottitis (AS) can be a life threatening infection that may lead to sudden airway obstruction. Thankfully, paediatric instances have decreased with public health vaccination programmes. Owing to the nature of the location of pathology, this time sensitive emergency requires astute clinical acumen and awareness of early warning signs. This study aimed to i) determine if the incidence of AS has changed over time; ii) investigate geographical and seasonal variation of infection; iii) identify features of presentation which may predict airway intervention; iv) assess efficacy of treatment and make recommendations for management...
November 2021: American Journal of Otolaryngology
https://read.qxmd.com/read/34011669/subglottic-ectopic-thymus-mimicking-airway-haemangioma
#31
JOURNAL ARTICLE
Sevasti Konstantinidou, Colin R Butler, Benjamin Hartley, Claire Frauenfelder
Subglottic haemangioma presents as progressive obstruction in the neonatal and infantile airway, with a soft lesion seen during endoscopy. Diagnosis is based on macroscopic findings, biopsy is not usually performed and propranolol is first-line treatment. In contrast, ectopic thymus is a rare differential diagnosis for subglottic mass made by histopathological examination after excision or autopsy. In this article, we present a case of an infant with a subglottic lesion with endoscopic features consistent with haemangioma...
May 19, 2021: BMJ Case Reports
https://read.qxmd.com/read/33862326/complications-and-outcomes-following-open-laryngotracheal-reconstruction-a-15-year-experience-at-an-australian-paediatric-tertiary-referral-centre
#32
JOURNAL ARTICLE
Phylannie K F Cheung, Huiting L Koh, Alan T L Cheng
OBJECTIVE: To report on our experience with open pediatric laryngotracheal reconstruction (LTR) with cartilage interposition grafts over the past 15 years and document setbacks and factors that affect postoperative outcomes. METHOD: A retrospective chart review was performed on all pediatric patients who underwent single and double-stage LTR at The Children's Hospital in Westmead between August 2004 and July 2019. The outcomes measured include the overall decannulation rate, rates of postoperative complications, need for subsequent procedures and postoperative functional results (dyspnea, stridor, voice impairment)...
June 2021: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/33849863/severe-stridor-and-profound-weakness-after-cerebral-malaria
#33
JOURNAL ARTICLE
Charlotte Fuller, Gavin Wooldridge, Alice Liomba, Stephen Thomas James Ray
Cerebral malaria (CM) is defined by WHO as coma (Blantyre Coma Score 2 or less) in a patient with Plasmodium falciparum parasitaemia and no alternative cause of coma identified. Mortality is approximately 15%-30% in African children and up to one-third of survivors have neurological sequelae. We present a patient with severe stridor and prolonged profound weakness during an intensive care admission with CM. These complications initially presented a diagnostic dilemma in our limited resourced setting. The stridor failed to improve with empiric steroids and a subsequent opportunistic ENT consult diagnosed vocal cord paresis...
April 13, 2021: BMJ Case Reports
https://read.qxmd.com/read/33817872/stressful-stridor
#34
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 2021: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/33817869/stressful-stridor
#35
JOURNAL ARTICLE
Esther Yap, Catherine McAdam
No abstract text is available yet for this article.
April 2021: Journal of Paediatrics and Child Health
https://read.qxmd.com/read/33775257/utility-of-sleep-nasendoscopy-versus-microlaryngotracheobronchoscopy-in-the-diagnosis-of-paediatric-upper-airway-obstruction
#36
JOURNAL ARTICLE
G Khong, S Sood, H Jones, S Sharma, S De
OBJECTIVE: To describe the utility of sleep nasendoscopy in determining the level of upper airway obstruction compared to microlaryngotracheobronchoscopy. METHODS: A retrospective observational study was conducted at a tertiary level paediatric hospital. Patients clinically diagnosed with upper airway obstruction warranting surgical intervention (i.e. with obstructive sleep apnoea or laryngomalacia) were included. These patients underwent sleep nasendoscopy in the anaesthetic room; microlaryngotracheobronchoscopy was subsequently performed and findings were compared...
April 2021: Journal of Laryngology and Otology
https://read.qxmd.com/read/33579744/fifteen-minute-consultation-guide-to-paediatric-voice-disorders
#37
JOURNAL ARTICLE
Natalie Anne Watson, Katharine Anne Orton, Andrew Hall
Paediatric voice disorders in the normal paediatric population ranges from 6% to 20%. We outline the important features in the initial evaluation of a persistent altered cry or voice in children and highlight the subsequent management currently used by ear, nose and throat (ENT) surgeons and speech and language therapists (SLTs). It is important to appreciate that there are stark differences between a child and adult larynx due to anatomical and physiological changes during development. The voice history elicited from both child and parent includes birth and developmental history, hearing, early feeding and respiratory function...
April 2022: Archives of Disease in Childhood. Education and Practice Edition
https://read.qxmd.com/read/33509858/bardet-biedl-syndrome-presenting-with-laryngeal-web-and-bifid-epiglottis
#38
JOURNAL ARTICLE
Parminder Kaur, Chakshu Chaudhry, Harsha Neelam, Inusha Panigrahi
Bardet-Biedl syndrome (BBS) is a rare autosomal recessive ciliopathy characterised by rod-cone dystrophy, obesity, postaxial polydactyly, cognitive impairment, hypogonadism, renal abnormalities, and rarely, laryngeal webs or bifid epiglottis. Most patients present with obesity. Multiple genes are involved in causation of BBS and there is also evidence of triallelic inheritance. We herein report an Asian boy who had weak cry and stridor since birth, and on evaluation was found to have both laryngeal web and bifid epiglottis...
January 28, 2021: BMJ Case Reports
https://read.qxmd.com/read/33343868/a-case-report-of-an-incidental-finding-of-congenital-oesophageal-diverticulum-in-a-patient-presenting-with-stridor
#39
Raju Limbu, Sabrina Brar, Prince Modayil
Congenital oesophageal diverticulum is incredibly rare and has not commonly been published in the literature. Oesophageal diverticulum can be asymptomatic; however, symptoms such as dysphagia, regurgitation and chest discomfort may be present. We describe the case of a paediatric patient presenting with biphasic stridor, respiratory distress and cyanosis at birth, who was found to have a supraglottic cyst and later the presence of an oesophageal diverticulum shown on ultrasound imaging. There has been one other case reported in the literature of an oesophageal diverticulum presenting with stridor, and we therefore believe this is one of only two cases to illustrate this atypical presentation of congenital oesophageal diverticulum...
December 2020: Journal of Surgical Case Reports
https://read.qxmd.com/read/33140202/inspiratory-stridor-of-newborns-and-infants-admitted-to-a-paediatric-ent-outpatient-clinic-diagnostic-approach-and-therapeutic-outcome
#40
JOURNAL ARTICLE
Eric Moreddu, Maeva Montero, Laurent Gilain, Jean-Michel Triglia, Richard Nicollas
The main objective was to analyse the use of rigid laryngotracheoscopy under general anaesthesia (GA) and endoscopic surgery in the management of inspiratory stridor in patients referred to a paediatric ENT outpatient clinic. The secondary objective was to analyse the aetiological diagnoses made and their therapeutic management. This is a prospective study including all newborns and infants, corresponding to 190 patients, presenting for the first time in consultation for inspiratory stridor from January 2015 to December 2017...
April 2021: European Journal of Pediatrics
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