Lower airway anomalies in infants with laryngomalacia.
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Date
2010-04
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Abstract
Objective. To study the prevalence of associated airway anomalies in infants presenting with moderate to severe
laryngomalacia.
Methods. Eighty three symptomatic infants with recurrent respiratory symptoms including wheeze and cough diagnosed as
moderate to severe laryngomalacia based on their clinical and direct laryngoscopic findings were subjected to fiberoptic
bronchoscopy (FOB) during the period March 2007 to February 2009 in the Department of Pulmonology, Institute of Child
Health and Hospital for Children, Chennai, India. Analysis of the clinical features, radiological findings and associated lower
airway anomalies by FOB was done.
Results. Lower airway anomalies were demonstrated in 40 (48%) infants of the study population. Tracheomalacia was the
most common lower airway anomaly 24(29%) followed by bronchomalacia 8(10%) and tracheobronchomalacia 6 (7%). (4:1:1).
Conclusion. Infants with moderate and severe laryngomalacia should be evaluated with flexible fibreoptic bronchoscopy to
rule out associated lower airway lesions.
Description
Keywords
Fiberoptic bronchoscopy (FOB), Infants, Laryngomalacia, Lower airway anomaly
Citation
Vijayasekaran D, Gowrishankar N C, Kalpana S, Vivekanandan V E, Balakrishnan M S, Suresh Saradha. Lower airway anomalies in infants with laryngomalacia. Indian Journal of Pediatrics. 2010 Apr; 77(4): 403-406.