Back to Search
Start Over
Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients.
- Source :
-
The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2015 Oct; Vol. 124 (10), pp. 808-13. Date of Electronic Publication: 2015 May 12. - Publication Year :
- 2015
-
Abstract
- Objective: To examine the prevalence of upper airway anomalies in patients diagnosed with congenital tracheoesophageal fistula and esophageal atresia (TEF/EA).<br />Methods: A retrospective review was conducted of all TEF/EA patients seen at a tertiary pediatric hospital between January 2008 and December 2013. Inclusion criteria included evaluation by the otolaryngology service. Exclusion criteria included age>18 years, acquired TEF/EA, subsequent rule out of TEF/EA, and otolaryngology evaluation for reasons not pertaining to the airway. Data collected and analyzed included demographics, comorbidities, presenting symptoms, surgical interventions, laryngoscopic and bronchoscopic examinations, and subsequent medical and surgical management.<br />Results: Four hundred and thirty patients were diagnosed with TEF/EA at our institution. In all, 32.3%, or 139 children, were included in the analysis; 56.1% (n=78) male, 43.9% (n=61) female. Of the analyzed patients, 4.3% (n=6) were diagnosed with laryngomalacia. Eighteen patients (12.9%) were diagnosed with subglottic stenosis. Thirty (21.6%) had vocal fold paresis or immobility. Laryngeal cleft was diagnosed in 25.9% (n=36). Tracheomalacia was the most common airway finding, diagnosed in 37.4% (n=52) patients.<br />Conclusion: Patients diagnosed with congenital TEF/EA have a high rate of secondary upper airway anomalies. Consideration should be given to perform a complete airway evaluation in all of these patients.<br /> (© The Author(s) 2015.)
- Subjects :
- Adolescent
Bronchoscopy methods
Child
Child, Preschool
Comorbidity
Demography
Disease Management
Esophageal Atresia
Female
Humans
Infant
Laryngoscopy methods
Male
Massachusetts epidemiology
Otorhinolaryngologic Surgical Procedures methods
Otorhinolaryngologic Surgical Procedures statistics & numerical data
Prevalence
Symptom Assessment
Tracheomalacia congenital
Tracheomalacia diagnosis
Tracheomalacia epidemiology
Respiratory System Abnormalities diagnosis
Respiratory System Abnormalities epidemiology
Tracheoesophageal Fistula congenital
Tracheoesophageal Fistula diagnosis
Tracheoesophageal Fistula epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0003-4894
- Volume :
- 124
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- The Annals of otology, rhinology, and laryngology
- Publication Type :
- Academic Journal
- Accession number :
- 25969571
- Full Text :
- https://doi.org/10.1177/0003489415586844