Tracheobronchomalacia in Children
| Autor: | Steven D. Handler, Ralph F. Wetmore, William P. Potsic, Lawrence W. C. Tom, Ian N. Jacobs |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Respiratory Tract Diseases Bronchi urologic and male genital diseases Asymptomatic Bronchoscopies Tracheotomy Bronchoscopy Humans Medicine Continuous positive airway pressure Bronchopulmonary Dysplasia Retrospective Studies Respiratory distress business.industry Infant Newborn Infant General Medicine Infant Low Birth Weight medicine.disease Respiration Artificial Surgery Trachea Otorhinolaryngology Bronchopulmonary dysplasia Tracheobronchomalacia medicine.symptom Airway business Infant Premature |
| Zdroj: | Archives of Otolaryngology - Head and Neck Surgery. 120:154-158 |
| ISSN: | 0886-4470 |
| Popis: | Tracheobronchomalacia (TBM) is an important cause of airway distress during infancy, but it generally resolves as the airway enlarges. To assess the origin and natural history of TBM, a chart review and telephone survey were conducted for 50 patients with TBM at the Children's Hospital of Philadelphia (Pa). This study revealed that TBM is a relatively common airway abnormality and is found on 15% of all diagnostic bronchoscopies. Prematurity, low birth weight, bronchopulmonary dysplasia, and prolonged ventilation predispose patients to the most severe symptoms. In our study, a tracheotomy with continuous positive airway pressure was required by 75% of the premature infants and 25% of the full-term infants with TBM. Seventy-one percent of all patients underwent decannulation without any other surgical intervention and remained nearly asymptomatic. Some patients could not undergo decannulation because of other airway lesions. In most instances, TBM is a self-limited disease that resolves without surgery.(Arch Otolaryngol Head Neck Surg. 1994;120:154-158) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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