Database : MEDLINE
Search on : Bronchomalacia [Words]
References found : 289 [refine]
Displaying: 1 .. 10   in format [Detailed]

page 1 of 29 go to page                         

  1 / 289 MEDLINE  
              next record last record
select
to print
Photocopy
Full text

[PMID]: 29524603
[Au] Autor:Shieh HF; Smithers CJ; Hamilton TE; Zurakowski D; Visner GA; Manfredi MA; Jennings RW; Baird CW
[Ad] Address:Department of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115.
[Ti] Title:Descending Aortopexy and Posterior Tracheopexy for Severe Tracheomalacia and Left Mainstem Bronchomalacia.
[So] Source:Semin Thorac Cardiovasc Surg;, 2018 Mar 07.
[Is] ISSN:1532-9488
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: Posterior descending aortopexy can relieve posterior intrusion of the left mainstem bronchus that may limit the effectiveness of posterior tracheobronchopexy. We review outcomes of patients undergoing both descending aortopexy and posterior tracheopexy for severe tracheobronchomalacia with posterior intrusion and left mainstem compression to determine if there were resolution of clinical symptoms and bronchoscopic evidence of improvement in airway collapse. METHODS: All patients who underwent both descending aortopexy and posterior tracheopexy from October 2012 to October 2016 were retrospectively reviewed. Clinical symptoms, tracheomalacia scores based on standardized dynamic airway evaluation by anatomical region, and persistent airway intrusion requiring reoperation were collected. Data were analyzed by Wald and Wilcoxon signed-ranks tests. RESULTS: 32 patients underwent descending aortopexy and posterior tracheopexy at median age 18 months (IQR 6-40 months). Median follow up was 3 months (IQR 1-7 months). There were statistically significant improvements in clinical symptoms postoperatively, including cough, noisy breathing, prolonged and recurrent respiratory infections, ventilator dependence, blue spells, and brief resolved unexplained events (BRUEs) (all P<.001), as well as exercise intolerance (P=.033), transient respiratory distress requiring positive pressure (P=.003), and oxygen dependence (P=.007). Total tracheomalacia scores improved significantly (P<.001), with significant segmental improvements in the middle (P=.003) and lower (P<.001) trachea, and right (P=.011) and left (P<.001) mainstem bronchi. 2 patients (6%) had persistent airway intrusion requiring reoperation with anterior aortopexy and/or tracheopexy. CONCLUSIONS: Descending aortopexy and posterior tracheopexy are effective in treating severe tracheobronchomalacia and left mainstem intrusion with significant improvements in clinical symptoms and degree of airway collapse on bronchoscopy.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180310
[Lr] Last revision date:180310
[St] Status:Publisher

  2 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29514258
[Au] Autor:Rijnberg FM; Butler CR; Bieli C; Kumar S; Nouraei R; Asto J; McKavanagh E; de Coppi P; Muthialu N; Elliott MJ; Hewitt RJ
[Ad] Address:Tracheal Team, Great Ormond Street Hospital, London, UK.
[Ti] Title:Aortopexy for the treatment of tracheobronchomalacia in 100 children: a 10-year single-centre experience.
[So] Source:Eur J Cardiothorac Surg;, 2018 Mar 05.
[Is] ISSN:1873-734X
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:OBJECTIVES: Our study describes and analyses the results from aortopexy for the treatment of airway malacia in children. METHODS: Demographic data, characteristics and preoperative, operative and outcome details, including the need for reintervention, were collected for children undergoing aortopexy between 2006 and 2016. RESULTS: One hundred patients [median age 8.2 months, interquartile range (IQR) 3.3-26.0 months] underwent aortopexy. Sixty-four (64%) patients had tracheomalacia (TM) only, 24 (24%) patients had TM extending into their bronchus (tracheobronchomalacia) and 11 (11%) patients had bronchomalacia. Forty-one (41%) children had gastro-oesophageal reflux disease, of which 17 (41%) children underwent a Nissen fundoplication. Twenty-eight (28%) children underwent a tracheo-oesophageal fistula repair prior to aortopexy (median 5.7 months, IQR 2.9-17.6 months). The median duration of follow-up was 5.3 years (IQR 2.9-7.5 years). Thirty-five (35%) patients were on mechanical ventilatory support before aortopexy. Twenty-seven (77%) patients could be safely weaned from ventilator support during the same admission after aortopexy (median 2 days, IQR 0-3 days). Fourteen patients required reintervention. Overall mortality was 16%. Multivariable analysis revealed preoperative ventilation (P = 0.004) and bronchial involvement (P = 0.004) to be adverse predictors of survival. Only bronchial involvement was a predictor for reintervention (P = 0.012). CONCLUSIONS: Aortopexy appears to be an effective procedure in the treatment of children with severe airway malacia. Bronchial involvement is associated with adverse outcome, and other procedures could be more suitable. For the treatment of severe airway malacia with isolated airway compression, we currently recommend aortopexy to be considered.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1803
[Cu] Class update date: 180307
[Lr] Last revision date:180307
[St] Status:Publisher
[do] DOI:10.1093/ejcts/ezy076

  3 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy

[PMID]: 29485824
[Au] Autor:Akdag A; Turgut A; Ceylan S; Kaya M
[Ti] Title:Annular Pancreas, Severe Tracheomalacia and Bronchomalacia in a Preterm Boy with Vacterl Association.
[So] Source:Genet Couns;27(2):207-10, 2016.
[Is] ISSN:1015-8146
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:VACTERL association includes vertebral anomalies, anal atresia, cardiac defects, tracheao-esophageal fistula, renal anomalies, and limb abnormalities. It is defined by the presence of at least three of these congenital malformations. The incidence has been estimated to be 1/10.000-1/40.000 live births. We report on a preterm infant with VACTERL presentin with respiratory complicatons due to the presence of severe tracheomalacia and bronchomalacia. He also had an annular pancreas.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180227
[Lr] Last revision date:180227
[St] Status:In-Process

  4 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29332910
[Au] Autor:Kato K; Kato T; Hayano S; Fukasawa Y; Numaguchi A; Hattori T; Saito A; Sato Y; Hayakawa M
[Ad] Address:Department of Pediatrics, Nagoya University Graduate School of Medicine.
[Ti] Title:Successful Infant Pneumonectomy with Unilateral Pulmonary Artery Occlusion Test.
[So] Source:Int Heart J;59(1):237-239, 2018 Jan 27.
[Is] ISSN:1349-3299
[Cp] Country of publication:Japan
[La] Language:eng
[Ab] Abstract:The use of unilateral pulmonary artery occlusion (UPAO) test for the preoperative evaluation of pneumonectomy was reported in adult patients. On the contrary, in infants, no strategies have yet been recommended to predict hemodynamics after pneumonectomy, nor has use of the UPAO test been reported. We describe the first case of infant with abnormal pulmonary circulation in whom successful pneumonectomy was performed after preoperative evaluation using UPAO test. Right pneumonectomy was planned for an 8-month-old girl, because of decreased right pulmonary function, high risk of pneumothorax, and impaired left lung expansion due to overexpansion caused by severe left bronchial stenosis and bronchomalacia. However, she had also prolonged pulmonary hypertension and there was difficulty in accurate echocardiographic evaluation of its severity due to concomitant left pulmonary artery stenosis. Furthermore, contrast-enhanced computer tomography suggested a certain degree of right pulmonary venous flow, discordant with the result showing scarce right pulmonary flow in perfusion scintigraphy. Predicting postoperative hemodynamic changes was therefore considered difficult. To evaluate these concerns, we performed cardiac catheterization and UPAO test to simulate postoperative hemodynamics. Pulmonary arteriography showed decreased but significant right pulmonary arterial and venous flows. Measurements including pulmonary artery pressure and cardiac index showed no marked changes after occlusion. Based on UPAO test results, the operation was successfully performed and hemodynamics remained stable postoperatively. The UPAO test may be useful for infants with cardiopulmonary impairment to evaluate the tolerability of pneumonectomy.
[Mh] MeSH terms primary: Abnormalities, Multiple
Bronchomalacia/surgery
Heart Function Tests/methods
Pneumonectomy/methods
Pulmonary Artery/physiopathology
Pulmonary Circulation/physiology
Stenosis, Pulmonary Artery/surgery
[Mh] MeSH terms secundary: Angiography
Bronchomalacia/congenital
Bronchomalacia/diagnosis
Female
Humans
Infant
Pulmonary Artery/diagnostic imaging
Radionuclide Imaging
Stenosis, Pulmonary Artery/congenital
Stenosis, Pulmonary Artery/diagnosis
Vascular Resistance
Ventricular Function, Right/physiology
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1802
[Cu] Class update date: 180206
[Lr] Last revision date:180206
[Js] Journal subset:IM
[Da] Date of entry for processing:180116
[St] Status:MEDLINE
[do] DOI:10.1536/ihj.16-606

  5 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29287846
[Au] Autor:Verheij E; Speleman L; Mink van der Molen AB; Thomeer HGXM
[Ad] Address:Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Center Utrecht, Utrecht University, The Netherlands; Brain Center Rudolf Magnus, University Medical Center Utrecht, The Netherlands. Electronic address: e.verheij-5@umcutrecht.nl.
[Ti] Title:Congenital respiratory tract disorders in 22q11.2 deletion syndrome.
[So] Source:Int J Pediatr Otorhinolaryngol;104:1-4, 2018 Jan.
[Is] ISSN:1872-8464
[Cp] Country of publication:Ireland
[La] Language:eng
[Ab] Abstract:OBJECTIVE: Respiratory tract disorders have been reported in patients with 22q11.2 deletion syndrome, however infrequently. This study describes the respiratory tract disorders encountered in a cohort of 278 patients with 22q11.2 deletion syndrome. METHODS: We conducted a retrospective, cross-sectional, study at a single tertiary referral center. We identified the patients with 22q11.2 deletion syndrome and with an upper and/or lower respiratory tract disorder at our otorhinolaryngologic department. The different disorders were described. RESULTS: Out of 278 patients referred to the otorhinolaryngologic department, we identified 14 patients with a laryngeal and/or tracheal disorder. Nine patients had more than one congenital disorder in this anatomical area. Disorders included a choanal stenosis (n = 1), laryngeal web (n = 5), laryngeal cleft (n = 2), subglottic stenosis (n = 3), pharyngo-, laryngo-, tracheo- and/or bronchomalacia (n = 11) and tracheal stenosis (n = 1). CONCLUSION: Different types of respiratory tract disorders can be present in patients with 22q11.2 deletion syndrome. Clinicians should be aware of this clinical association for timely and accurate diagnosis and treatment. In addition, the diagnosis 22q11.2 deletion syndrome should be considered in patients presenting with a congenital respiratory tract disorder.
[Mh] MeSH terms primary: DiGeorge Syndrome/complications
Respiratory Tract Diseases/epidemiology
[Mh] MeSH terms secundary: Child, Preschool
Chromosomes, Human, Pair 22
Cross-Sectional Studies
DiGeorge Syndrome/genetics
Female
Humans
Infant
Infant, Newborn
Male
Respiratory Tract Diseases/congenital
Retrospective Studies
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180116
[Lr] Last revision date:180116
[Js] Journal subset:IM
[Da] Date of entry for processing:171231
[St] Status:MEDLINE

  6 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29333837
[Au] Autor:Cuestas G; Rodríguez V; Doormann F; Bellia Munzón P; Bellia Munzón G
[Ad] Address:Sección de Endoscopía Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad de Buenos Aires. giselle_cuestas@yahoo.com.ar.
[Ti] Title:Estent de vía aérea biodegradable para el tratamiento de la obstrucción bronquial en el niño. Caso clínico. [Biodegradable airway stent for the treatment of bronchial obstruction in the child. Case report].
[So] Source:Arch Argent Pediatr;116(1):e125-e129, 2018 Feb 01.
[Is] ISSN:1668-3501
[Cp] Country of publication:Argentina
[La] Language:spa
[Ab] Abstract:Bronchial obstruction is infrequent in the child. The main cause is malacia or benign stenosis. Management alternatives range from conservative treatment to complex surgical and/or endoscopic techniques. Placement of a stent can play a key role in situations where there is no other therapeutic option. However, the ideal stent is not yet available. In the last few years, progress has been made in the development and characterization of novel biodegradable materials in order to overcome the drawbacks of traditional stents made of silicone or metal. We present our experience with a new type of biodegradable airway stent in the treatment of severe bronchomalacia in a 2-year-old child; we evaluate safety and clinical effectiveness. We describe the indications and potential complications of pediatric endoprosthesis in the airway.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1801
[Cu] Class update date: 180115
[Lr] Last revision date:180115
[St] Status:In-Data-Review
[do] DOI:10.5546/aap.2018.e125

  7 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29148213
[Au] Autor:Ullmann N; Secinaro A; Menchini L; Caggiano S; Verrillo E; Santangelo TP; Cutrera R; Tomà P
[Ad] Address:Respiratory Unit, University Department of Pediatrics (DPUO), Bambino Gesù Children's Hospital, Rome, Italy.
[Ti] Title:Dynamic expiratory CT: An effective non-invasive diagnostic exam for fragile children with suspected tracheo-bronchomalacia.
[So] Source:Pediatr Pulmonol;, 2017 Nov 17.
[Is] ISSN:1099-0496
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Tracheobronchomalacia, defined as variable collapse of the airways, has been recognized as an important cause of respiratory morbidity but still widely underdiagnosed. Bronchoscopy is still considered as the gold standard, but numerous limitations are known, especially for fragile sick children. Moreover, information on parenchymal lung disease cannot be described. There is a real need for a reliable, non-invasive test to help detection of airway and parenchymal malformations in children, specifically when bronchoscopy cannot be performed. METHODS AND RESULTS: 34 paediatric patients underwent cine multidector CT for ongoing respiratory symptoms and were included. All CT images were of good quality and sedation was never needed. Airway disease such as trachea-broncomalacia with/without stenosis was described in 53% with the first being more frequent. Bronchomalacia alone was described in 10 patients and in 4 patients was associated with tracheomalacia. Moreover, CT allowed identification of parenchymal disease in 10 patients. Airways stenosis alone was detected in seven patients. The majority of patients (85%) underwent also bronchoscopy for clinical decision. The agreement between CT and bronchoscopy was explored. The two examinations did not agree only in two cases. CT dynamic showed an excellent sensitivity of 100% (81.47-100 %), a great specificity of 82% (48.22-97.72 %), NPV 100%, and PPV 90% (72-96.9 %). CONCLUSION: Dynamic CT results an effective and highly sensitive diagnostic exam for children with tracheo-bronchomalacia. CT is especially indicated for those small and fragile patients that cannot undergo an invasive investigation. Moreover, CT allows a detailed evaluation both of the airways and the lungs which is useful for the clinical management.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171117
[Lr] Last revision date:171117
[St] Status:Publisher
[do] DOI:10.1002/ppul.23831

  8 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 29124401
[Au] Autor:Okata Y; Hasegawa T; Bitoh Y; Maeda K
[Ad] Address:Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Hyogo, 650-0047, Japan. yuichi.okata@gmail.com.
[Ti] Title:Bronchoscopic assessments and clinical outcomes in pediatric patients with tracheomalacia and bronchomalacia.
[So] Source:Pediatr Surg Int;, 2017 Nov 09.
[Is] ISSN:1437-9813
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: Tracheomalacia and bronchomalacia (TM/BM) are one of the serious causes of airway obstruction in infants and children. This study reviewed our bronchoscopic assessments and clinical outcomes in pediatric patients with TM/BM, and investigated risk factors of surgical intervention for TM/BM. METHODS: Fifty-seven consecutive patients who were diagnosed as TM/BM by bronchoscopy between 2009 and 2013 were reviewed retrospectively. They were divided into two groups according to the presence (group E, n = 26) or absence (group N, n = 31) of acute life-threatening events and extubation failure (ALTE/EF). The severity of TM/BM was evaluated by Oblateness Index which was obtained from bronchoscopic images. RESULTS: Oblateness Index was significantly higher in Group E than in Group N. Patients in Group E underwent surgical intervention for TM/BM more frequently, and had significantly longer intubation period and hospital stay. Clinical symptoms of ALTE/EF, Oblateness Index ≥ 0.70, and multiple malacic lesions were significant risk factors indicating surgical events in patients with TM/BM. CONCLUSIONS: Patients with TM/BM who had ALTE/EF had more severe malacic lesions indicating surgical intervention, and worse clinical outcomes. Oblateness Index is a simple and semi-quantitative index for bronchoscopic assessment of TM/BM, and can be one of the prognostic tools to predict clinical severity of pediatric TM/BM.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1711
[Cu] Class update date: 171110
[Lr] Last revision date:171110
[St] Status:Publisher
[do] DOI:10.1007/s00383-017-4209-x

  9 / 289 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 28688555
[Au] Autor:Nenna R; Midulla F; Masi L; Bacci GM; Frassanito A; Baggi R; Brandi ML; Avenali S; Mirabile L; Serio P
[Ad] Address:Department of Pediatrics and Infantile Neuropsychiatry, "Sapienza" University, Rome, Italy. Electronic address: raffaella.nenna@uniroma1.it.
[Ti] Title:Airway stenting in a child with spondyloepiphyseal dysplasia congenita: 13-Year survival.
[So] Source:Int J Pediatr Otorhinolaryngol;99:13-16, 2017 Aug.
[Is] ISSN:1872-8464
[Cp] Country of publication:Ireland
[La] Language:eng
[Ab] Abstract:We describe the case of a boy with spondyloepiphyseal dysplasia congenita. At birth, he experienced severe respiratory distress necessitating tracheotomy. Endoscopy done because mechanical ventilation failed to resolve desaturations disclosed severe tracheo-bronchomalacia. A Polyflex silicone stent was placed in the trachea (replaced by Y-Dumon stent) and 2 Palmaz metallic stents in the mainstem bronchi (overlapped with 2 Jomed stents 5 years later). Airway stenting guaranteed a suitable respiratory status and allowed a child who was expected to die at birth, to reach 13.5 years old in good conditions.
[Mh] MeSH terms primary: Osteochondrodysplasias/congenital
Stents/adverse effects
[Mh] MeSH terms secundary: Airway Obstruction
Bronchi/surgery
Child
Child, Preschool
Humans
Male
Osteochondrodysplasias/surgery
Silicones
Trachea/surgery
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Nm] Name of substance:0 (Silicones)
[Em] Entry month:1709
[Cu] Class update date: 170926
[Lr] Last revision date:170926
[Js] Journal subset:IM
[Da] Date of entry for processing:170710
[St] Status:MEDLINE

  10 / 289 MEDLINE  
              first record previous record
select
to print
Photocopy
Full text

[PMID]: 28443268
[Au] Autor:Weber A; Donner B; Perez MH; Di Bernardo S; Trachsel D; Sandu K; Sekarski N
[Ad] Address:Pediatric Cardiology Unit, Department of Pediatrics and Pediatric Surgery, University Hospital Lausanne, Lausanne, Switzerland.
[Ti] Title:Complicated Postoperative Course after Pulmonary Artery Sling Repair and Slide Tracheoplasty.
[So] Source:Front Pediatr;5:67, 2017.
[Is] ISSN:2296-2360
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:Pulmonary artery sling (PAS) is a rare congenital condition in which the left pulmonary artery (LPA) arises from the right pulmonary artery, and then passes between the trachea and the esophagus to reach the left lung, thereby forming a sling around the airway. It is often associated with intrinsic tracheal stenosis due to complete cartilaginous rings. Therapeutic management nowadays consists of one-stage reimplantation of the LPA and tracheoplasty with cardiopulmonary bypass support. Here, we present a 7-week-old boy with PAS and long-segment tracheal stenosis (LSTS) who underwent surgical intervention consisting of reimplantation of the LPA and slide tracheoplasty. Multiple respiratory and cardiovascular complications marked the postoperative course. They consisted of recurrent failed attempts in weaning off mechanical ventilation due to bronchomalacia, left vocal cord paralysis, development of granulation tissue at the anastomosis and restenosis of the trachea, and the main stem bronchi requiring balloon dilatation. The patient also developed bilateral pulmonary artery thrombosis and stenosis of the LPA. After a prolonged hospitalization, the patient is doing well without any respiratory symptoms and has a good result on follow-up bronchoscopy 1 year after the initial surgery. The stenosis of the LPA responded well to percutaneous balloon dilatation 12 months after the primary surgery. The case illustrates that even though surgical techniques are improving and are in general associated with a low morbidity and mortality, management of PAS and tracheal stenosis can still be challenging. However, good long-term outcome can be achieved if the initial postoperative phase is overcome.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1704
[Cu] Class update date: 170816
[Lr] Last revision date:170816
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.3389/fped.2017.00067


page 1 of 29 go to page                         
   


Refine the search
  Database : MEDLINE Advanced form   

    Search in field  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/PAHO/WHO - Latin American and Caribbean Center on Health Sciences Information