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Pilot Study to Assess the Use of Ultrasound in Evaluating the Abnormal Pediatric Airway.
Bell, Jason R; Cohen, Aliza P; Graff, Justin T; Fleck, Robert J; O'Hara, Sally; de Alarcon, Alessandro; Hart, Catherine K.
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  • Bell JR; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Cohen AP; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Graff JT; College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
  • Fleck RJ; Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • O'Hara S; Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • de Alarcon A; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Hart CK; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Otolaryngol Head Neck Surg ; 162(6): 950-953, 2020 Jun.
Article en En | MEDLINE | ID: mdl-32204669
In this study, we sought to explore the feasibility of using ultrasonography to evaluate airway anomalies in awake children with previous airway reconstruction. For the month of December 2018, we reviewed the medical records of patients aged <18 years old with prior airway reconstruction who had an outpatient appointment and a microlaryngoscopy and bronchoscopy within 24 hours of each other. Four patients met inclusion criteria and were enrolled. Sonographic airway images and measurements were obtained during the outpatient appointment and compared with those obtained during endoscopy. Ultrasound identified extraluminal stents and glottic, subglottic, and tracheal pathology. Subglottic measurements obtained sonographically were within 0.1 to 0.5 mm of the outer diameter of the appropriate endotracheal tubes. Ultrasound did not visualize tracheotomy tubes or posterolateral pathology. Our findings lay the foundation for expanding the role of ultrasound in pediatric airway assessment, keeping in mind its apparent inability to visualize posterolateral airway pathology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Otorrinolaringológicos / Tráquea / Estenosis Traqueal / Laringoestenosis / Ultrasonografía / Procedimientos de Cirugía Plástica / Glotis Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Otolaryngol Head Neck Surg Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos Quirúrgicos Otorrinolaringológicos / Tráquea / Estenosis Traqueal / Laringoestenosis / Ultrasonografía / Procedimientos de Cirugía Plástica / Glotis Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Adolescent / Child / Child, preschool / Female / Humans / Male Idioma: En Revista: Otolaryngol Head Neck Surg Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido