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  1 / 167 MEDLINE  
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[PMID]:28281415
[Au] Autor:Di Dedda G; Mirabile C
[Ad] Endereço:1Department of Anesthesia and Intensive Care,Fondazione Toscana G. Monasterio per la Ricerca Medica e di Sanità Pubblica CNR Regione Toscana,Massa,Italy.
[Ti] Título:Use of a biodegradable, oversized stent in a child with tracheomalacia secondary to vascular external compression.
[So] Source:Cardiol Young;27(1):196-198, 2017 Jan.
[Is] ISSN:1467-1107
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:We describe the implantation of an absorbable, custom-made stent of polydioxanone to treat tracheomalacia in a 5-month-old patient with extrinsic compression by a double aortic arch. The use of an absorbable, oversized stent treated the tracheal collapse caused by vascular compression, avoided removal procedures, and allowed the infant's growth. The use of an oversized stent prevented stent migration and gave minimal problems of granulation.
[Mh] Termos MeSH primário: Implantes Absorvíveis
Anomalias dos Vasos Coronários/complicações
Stents
Traqueia/cirurgia
Traqueomalácia/cirurgia
[Mh] Termos MeSH secundário: Broncoscopia
Angiografia Coronária
Anomalias dos Vasos Coronários/diagnóstico
Seres Humanos
Recém-Nascido
Masculino
Desenho de Prótese
Tomografia Computadorizada por Raios X
Traqueia/diagnóstico por imagem
Traqueomalácia/diagnóstico
Traqueomalácia/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170321
[Lr] Data última revisão:
170321
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170311
[St] Status:MEDLINE
[do] DOI:10.1017/S104795111600113X


  2 / 167 MEDLINE  
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[PMID]:28167015
[Au] Autor:Hsueh WD; Smith LP
[Ad] Endereço:Department of Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, 3400 Bainbridge Ave, Bronx, NY, United States. Electronic address: whsueh@montefiore.org.
[Ti] Título:External airway splint to treat tracheomalacia following laryngotracheal reconstruction.
[So] Source:Int J Pediatr Otorhinolaryngol;94:68-69, 2017 Mar.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:This observation reports the use of an external airway splint to treat tracheomalacia in a pediatric patient. The patient underwent a double stage laryngotracheal reconstruction however was unable to be decannulated due to severe tracheomalacia. Our purpose is to further support the use of external splinting in the treatment of tracheomalacia in a unique case involving isolated nighttime airway obstruction following laryngotracheal reconstruction.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/cirurgia
Laringoestenose/cirurgia
Procedimentos Cirúrgicos Reconstrutivos
Contenções
Stents
Traqueomalácia/cirurgia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/etiologia
Pré-Escolar
Remoção de Dispositivo
Seres Humanos
Masculino
Traqueomalácia/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170208
[St] Status:MEDLINE


  3 / 167 MEDLINE  
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[PMID]:28132084
[Au] Autor:Maeda K
[Ad] Endereço:Department of Pediatric Surgery, Kobe Children's Hospital, 1-6-7, Minatojima-minamimachi, Chuo-ku, Kobe, 650-0047, Japan. ko.maeda@mac.com.
[Ti] Título:Pediatric airway surgery.
[So] Source:Pediatr Surg Int;33(4):435-443, 2017 Apr.
[Is] ISSN:1437-9813
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:Pediatric airway surgery is a challenging field in pediatric surgery. Laryngotracheal stenosis has a variety of congenital and acquired conditions that require precise assessment and tailored treatment for each individual patient. About 90% of acquired conditions are represented by subglottic stenosis (SGS) resulting as a complication of tracheal intubation. Congenital tracheal stenosis (CTS) is a rare and life-threatening malformation, usually associated with complete tracheal rings along a variable length of the trachea. Tracheomalacia (TM) is a process characterized by flaccidity of the supporting tracheal cartilage, widening of the posterior membranous wall, and reduced anterior-posterior airway caliber. The clinical presentation can vary from almost asymptomatic patients to near fatal airway obstruction. There is considerable variation in both the morphologic subtypes and the prognosis of pediatric airway. The patients are divided into three clinical groups (mild, moderate, and severe). A further division was proposed according to the presence or absence of associated anomalies. The definitive diagnosis of pediatric airway was made by means of rigid bronchoscope and computed tomography scan with three-dimensional reconstruction (3D-CT). Rigid bronchoscopy and 3D-CT confirmed the diagnosis in all the cases. Other associated anomalies include congenital heart disease, vascular anomalies, and BPFM (maldevelopment of aerodigestive tract). After definitive diagnosis of pediatric airway lesions, surgical intervention should be considered. Surgical strategy was presented on each lesion.
[Mh] Termos MeSH primário: Constrição Patológica/cirurgia
Laringoestenose/cirurgia
Procedimentos Cirúrgicos Otorrinolaringológicos
Traqueia/anormalidades
Estenose Traqueal/cirurgia
Traqueomalácia/cirurgia
[Mh] Termos MeSH secundário: Seres Humanos
Laringe/embriologia
Traqueia/embriologia
Traqueia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170130
[St] Status:MEDLINE
[do] DOI:10.1007/s00383-016-4050-7


  4 / 167 MEDLINE  
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[PMID]:27723958
[Au] Autor:Dewulf J; Van Daele S; De Baets F
[Ad] Endereço:Department of Pediatric Pulmonology, University Hospital Ghent, Ghent, Belgium.
[Ti] Título:Recurrent spontaneous pneumomediastinum in a child with tracheomalacia.
[So] Source:Pediatr Pulmonol;52(6):E29-E31, 2017 Jun.
[Is] ISSN:1099-0496
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Spontaneous pneumomediastinum in children is a very rare, benign entity. Recurrent episodes are exceptional. Identifying an underlying trigger is crucial, and very often, spontaneous pneumomediastinum occurs in association with an asthma exacerbation. We report the case of a patient in which we hypothesize that an underlying tracheomalacia can be held responsible for the recurrent pneumomediastinum, which is to this date the first case with this assumption. Pediatr Pulmonol. 2017;52:E29-E31. © 2016 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Enfisema Mediastínico/etiologia
Traqueomalácia/complicações
[Mh] Termos MeSH secundário: Criança
Seres Humanos
Masculino
Recidiva
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161011
[St] Status:MEDLINE
[do] DOI:10.1002/ppul.23624


  5 / 167 MEDLINE  
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[PMID]:27722899
[Au] Autor:Kusak B; Cichocka-Jarosz E; Jedynak-Wasowicz U; Lis G
[Ad] Endereço:Department of Pediatrics, Chair of Pediatrics Jagiellonian University Medical College, Krakow, Poland. beatakusak@gmail.com.
[Ti] Título:Types of laryngomalacia in children: interrelationship between clinical course and comorbid conditions.
[So] Source:Eur Arch Otorhinolaryngol;274(3):1577-1583, 2017 Mar.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to: (1) find out whether laryngomalacia (LM) types are related to clinical course; (2) which patients with LM are at higher risk of other airway malacia [tracheomalacia (TM) and/or bronchomalacia (BM)]; and (3) evaluate the prevalence of LM in our region. Patients with established LM diagnosis and complete clinical and endoscopy records were enrolled. They were classified into different LM types according to classification based on the side of supraglottic obstruction. One hundred ten children were included. The most common LM appearance was type I-58 children, followed by combine types (I + II and I + III)-38. The other airway malacia were found in 47 patients: TM in 31, BM in 10, and TM with BM in 6. Other comorbidities (cardiac, neurological, and genetic disorders) were identified in 30 children. Patients with combine types of LM differ from those with single type of LM in terms of prematurity (13 vs 31 %, p = 0.04) and higher weight on the examination day (p = 0.006). Patients with other airway malacia differ from children with isolated LM in terms of prematurity (40 vs 13 %, p = 0.008), comorbidities (38 vs 19 %, p = 0.024), and lower weight on the examination day (p = 0.014). The prevalence of clinically relevant LM was one in 2600-3100 newborns. Clinical course of LM cannot be anticipated on the basis of solely endoscopic evaluation of the larynx. Comorbidities and prematurity increase the risk of other airway malacia. The prevalence of LM is relatively high in the middle-south part of Poland.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias
Broncomalácia/epidemiologia
Laringomalácia
Traqueomalácia/epidemiologia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/patologia
Obstrução das Vias Respiratórias/fisiopatologia
Broncoscopia/métodos
Comorbidade
Feminino
Seres Humanos
Lactente
Recém-Nascido
Laringomalácia/classificação
Laringomalácia/epidemiologia
Laringomalácia/fisiopatologia
Masculino
Polônia/epidemiologia
Prevalência
Estudos Retrospectivos
Medição de Risco
Fatores de Risco
Supraglotite/patologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170515
[Lr] Data última revisão:
170515
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161011
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-016-4334-5


  6 / 167 MEDLINE  
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[PMID]:27616617
[Au] Autor:Smithers CJ; Hamilton TE; Manfredi MA; Rhein L; Ngo P; Gallagher D; Foker JE; Jennings RW
[Ad] Endereço:Esophageal Atresia Treatment Program, Department of Surgery, Boston Children's Hospital, Boston, MA 02115. Electronic address: charles.smithers@childrens.harvard.edu.
[Ti] Título:Categorization and repair of recurrent and acquired tracheoesophageal fistulae occurring after esophageal atresia repair.
[So] Source:J Pediatr Surg;52(3):424-430, 2017 Mar.
[Is] ISSN:1531-5037
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Recurrent trachea-esophageal fistula (recTEF) is a frequent (5%-10%) complication of congenital TEF (conTEF) and esophageal atresia (EA) repair. In addition, postoperative acquired TEF (acqTEF) can occur in addition to or even in the absence of prior conTEF in the setting of esophageal anastomotic complications. Reliable repair often proves difficult by endoluminal or standard surgical techniques. We present the results of an approach that reliably identifies the TEF and facilitates airway closure as well as repair of associated tracheal and esophageal problems. METHODS: Retrospective review of 66 consecutive patients 2009-2016 (55 referrals and 11 local) who underwent repair via reoperative thoracotomy or cervicotomy for recTEF and acqTEF (IRB P00004344). Our surgical approach used complete separation of the airway and esophagus, which reliably revealed the TEF (without need for cannulation) and freed the tissues for primary closure of the trachea and frequently resection of the tracheal diverticulum. For associated esophageal strictures, stricturoplasty or resection was performed. Separation of the suture lines by rotational pexy of the both esophagus and the trachea, and/or tissue interposition were used to further inhibit re-recurrence. For associated severe tracheomalacia, posterior tracheopexy to the anterior spinal ligament was utilized. RESULTS: The TEFs were recurrent (77%), acquired from esophageal leaks (26%), in addition to persistent or missed H-type (6%). Seven patients in this series had multiple TEFs of more than one category. Of the acqTEF cases, 6 were esophagobronchial, 10 esophagopulmonic, 2 esophagotracheal (initial pure EA cases), and 2 from a gastric conduit to the trachea. Upon referral, 18 patients had failed endoluminal treatments; and open operations for recTEF had failed in 18 patients. Significant pulmonary symptoms were present in all. During repairs, 58% were found to have a large tracheal diverticulum, and 51% had posterior tracheopexy for significant tracheomalacia. For larger esophageal defects, 32% were treated by stricturoplasty and 37% by segmental resection. Rotational pexy of the trachea and/or esophagus was utilized in 62% of cases to achieve optimal suture line separation. Review with a mean follow-up of 35months identified no recurrences, and resolution of pulmonary symptoms in all. Stricture treatment required postoperative dilations in 30, and esophageal replacement in 6 for long strictures. There was one death. CONCLUSION: This retrospective review of 66 patients with postoperative recurrent and acquired TEF following esophageal atresia repair is the largest such series to date and provides a new categorization for postoperative TEF that helps clarify the diagnostic and therapeutic challenges for management.
[Mh] Termos MeSH primário: Anastomose Cirúrgica/efeitos adversos
Fístula Anastomótica/etiologia
Atresia Esofágica/cirurgia
Esofagoplastia/efeitos adversos
Complicações Pós-Operatórias/cirurgia
Toracotomia/efeitos adversos
Fístula Traqueoesofágica/cirurgia
[Mh] Termos MeSH secundário: Fístula Anastomótica/cirurgia
Divertículo/cirurgia
Atresia Esofágica/complicações
Estenose Esofágica/cirurgia
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Período Pós-Operatório
Recidiva
Reoperação
Estudos Retrospectivos
Traqueia/cirurgia
Fístula Traqueoesofágica/classificação
Fístula Traqueoesofágica/complicações
Fístula Traqueoesofágica/etiologia
Traqueomalácia/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170426
[Lr] Data última revisão:
170426
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160913
[St] Status:MEDLINE


  7 / 167 MEDLINE  
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[PMID]:27531619
[Au] Autor:Kaye R; Goldstein T; Aronowitz D; Grande DA; Zeltsman D; Smith LP
[Ad] Endereço:Department of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, U.S.A.
[Ti] Título:Ex vivo tracheomalacia model with 3D-printed external tracheal splint.
[So] Source:Laryngoscope;127(4):950-955, 2017 Apr.
[Is] ISSN:1531-4995
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To design and evaluate an ex vivo model of tracheomalacia with and without a three-dimensional (3D)-printed external tracheal splint. STUDY DESIGN: Prospective, ex vivo animal trial. METHODS: Three groups of ex vivo porcine tracheas were used: 1) control (unmanipulated trachea), 2) tracheomalacia (tracheal rings partially incised and crushed), and 3) splinted tracheomalacia (external custom tracheal splint fitted onto group 2 trachea). Each end of an ex vivo trachea was sealed with a custom-designed and 3D-printed cap; a transducer was placed through one end to measure the pressure inside the trachea. Although the negative pressure was applied to the tracheal lumen, the tracheal wall collapse was measured externally and internally using a bronchoscope. Each group had at least three recorded trials. Tracheal diameter was evaluated using ImageJ software (National Institutes of Health, Bethesda, MD) and was averaged between two raters. RESULTS: Average tracheal occlusion percentage was compared using Student t test. The average occlusion was 31% for group 1, 87.4% for group 2, and 20% for group 3. Significant differences were found between the control and tracheomalacia groups (P < 0.01) and the tracheomalacia and splinted tracheomalacia groups (P < 0.01). There was no significant difference between the control and splinted tracheomalacia groups (P = 0.13). Applied pressure was plotted against occlusion and regression line slope differed between the tracheomalacia (0.91) and control (0.12) or splinted tracheomalacia (0.39) groups. CONCLUSION: We demonstrate the potential for an ex vivo tracheomalacia model to reproduce airway collapse and show that this collapse can be treated successfully with a 3D-printed external splint. These results are promising and justify further studies. LEVEL OF EVIDENCE: N/A. Laryngoscope, 127:950-955, 2017.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Impressão Tridimensional
Contenções
Traqueomalácia/terapia
[Mh] Termos MeSH secundário: Animais
Modelos Animais de Doenças
Técnicas In Vitro
Suínos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160818
[St] Status:MEDLINE
[do] DOI:10.1002/lary.26213


  8 / 167 MEDLINE  
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[PMID]:27377076
[Au] Autor:Keng LT; Chang CJ
[Ad] Endereço:Department of Internal Medicine, Nation Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu, Taiwan.
[Ti] Título:All that wheezes is not asthma: adult tracheomalacia resulting from innominate artery compression.
[So] Source:Postgrad Med J;93(1095):54-55, 2017 Jan.
[Is] ISSN:1469-0756
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/diagnóstico por imagem
Tronco Braquiocefálico/diagnóstico por imagem
Traqueomalácia/diagnóstico por imagem
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Obstrução das Vias Respiratórias/etiologia
Tronco Braquiocefálico/anormalidades
Broncoscopia
Dispneia/etiologia
Feminino
Seres Humanos
Radiografia Torácica
Sons Respiratórios/etiologia
Tomografia Computadorizada por Raios X
Traqueomalácia/complicações
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160706
[St] Status:MEDLINE
[do] DOI:10.1136/postgradmedj-2016-134177


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[PMID]:27863648
[Au] Autor:Sztanó B; Kiss G; Márai K; Rácz G; Szegesdi I; Rácz K; Katona G; Rovó L
[Ad] Endereço:Department of Otorhinolaryngology, Head and Neck Surgery, University of Szeged, Hungary. Electronic address: sztano.balazs@med.u-szeged.hu.
[Ti] Título:Biodegradable airway stents in infants - Potential life-threatening pitfalls.
[So] Source:Int J Pediatr Otorhinolaryngol;91:86-89, 2016 Dec.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The solution of severe tracheobronchial obstructions in early childhood means a great challenge. Biodegradable stents were intended to be a minimally invasive temporary solution which may decrease the number of interventions and limit the possible complications of stenting procedures. However, our first experiences have brought out a new, - especially in childhood - potentially life-threatening complication of this concept. METHODS: Five SX-ELLA biodegradable polydioxanone stents was applied in three patients because of severe tracheobronchial obstruction: congenital tracheomalacia (7 day-old), acquired tracheomalacia (10 month-old), and congenital trachea-bronchomalacia (10 month-old). RESULTS: The breathing of all children improved right after the procedure. We observed degradation of the stent from the 5th postoperative week which resulted in large intraluminar fragments causing significant airway obstruction: one patient died of severe pneumonia, the other baby required urgent bronchoscopy to remove the obstructing 'foreign body' from the trachea. In the third case repeated stent placements successfully maintained the tracheal lumen. CONCLUSIONS: Polydioxanone stents may offer an alternative to metallic or silastic stents for collapse or external compression of the trachea in children; however, large decaying fragments mean a potential risk especially in the small size pediatric airway. The fragmentation of the stent, which generally starts in the 4-6 postoperative weeks, may create large sharp pieces. These may be anchored to the mucosa and covered by crust leading to obstruction. As repeated interventions are required, we do not consider the application of biodegradable stents unambiguously advantageous.
[Mh] Termos MeSH primário: Implantes Absorvíveis/efeitos adversos
Obstrução das Vias Respiratórias/etiologia
Corpos Estranhos/etiologia
Stents/efeitos adversos
Traqueia
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/cirurgia
Broncomalácia/terapia
Broncoscopia
Feminino
Corpos Estranhos/cirurgia
Seres Humanos
Lactente
Recém-Nascido
Masculino
Polidioxanona/efeitos adversos
Traqueomalácia/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
31621-87-1 (Polydioxanone)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161120
[St] Status:MEDLINE


  10 / 167 MEDLINE  
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[PMID]:27729160
[Au] Autor:Hiebert JC; Zhao YD; Willis EB
[Ad] Endereço:Department of Otorhinolaryngology, The University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd WP 1290, Oklahoma City, OK, 73104, USA. Electronic address: Jared-hiebert@ouhsc.edu.
[Ti] Título:Bronchoscopy findings in recurrent croup: A systematic review and meta-analysis.
[So] Source:Int J Pediatr Otorhinolaryngol;90:86-90, 2016 Nov.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:IMPORTANCE: The etiology of recurrent croup is often anatomic. Currently there is no set criteria for determining who should undergo diagnostic bronchoscopy and which patients are at most risk for having a clinically significant finding. Few studies have addressed these questions. OBJECTIVE: To identify risk factors for clinically significant findings on bronchoscopy in children with recurrent croup and the frequency of bronchoscopy findings in general. DATA SOURCES: PUBMED, Ovid MEDLINE, EMBASE. STUDY SELECTION: Articles addressing bronchoscopy in children with recurrent croup, up to July 2016, were reviewed. Related keywords and medical subject headings were used during the search. The abstracts were reviewed to determine suitability for inclusion based on a set of criteria. Manual crosscheck of references was performed. DATA EXTRACTION: We analyzed the bronchoscopy findings of individual patients in each study and their associated risk factors when available. RESULTS: We reviewed 11 articles, published between 1992 and 2016, including 885 patients (654 males, 237 females). Only 5 studies, including 455 patients, had sufficient data for meta-analysis. Our study revealed that the three most common bronchoscopy findings were subglottic stenosis, reflux changes, and broncho/tracheomalacia. Only 8.7% of patients were noted to have clinically significant findings on bronchoscopy. Meta analysis showed an association between significant bronchoscopy findings and History of Intubation [OR = 5.17, 95% CI 2.65-10.09], Inpatient Consultation [OR = 4.01, 95% CI 1.44-11.20], Age < 3 [OR = 3.22, 95% 1.66-6.27], Age < 1 [OR = 2.86, 95% CI 1.28-6.40], and Prematurity [OR = 2.90, 95% CI 1.39-6.06]. Our study found a high incidence of a History of GERD (20%) and Asthma/Allergies (35%) among patients with recurrent croup, but these variables did not reach statistical significance in patients with significant bronchoscopy findings ([OR = 1.62, 95% CI 0.79-3.30], [OR = 0.57, 95% CI 0.30-1.08] respectively). CONCLUSION: The risk factors most associated with clinically significant bronchoscopy findings in recurrent croup are Intubation, Inpatient Consultation, Age < 3, Age <1, and Prematurity. A History of GERD and Asthma/Allergy, though highly prevalent in recurrent croup patients, were not statistically associated with significant bronchoscopy findings. RELEVANCE: The results should guide physicians in selecting which recurrent croup patients are most at risk for significant findings and thus may warrant bronchoscopy.
[Mh] Termos MeSH primário: Broncomalácia/diagnóstico por imagem
Broncoscopia
Crupe/etiologia
Refluxo Gastroesofágico/diagnóstico por imagem
Laringoestenose/diagnóstico por imagem
Traqueomalácia/diagnóstico por imagem
[Mh] Termos MeSH secundário: Fatores Etários
Broncomalácia/complicações
Pré-Escolar
Crupe/epidemiologia
Refluxo Gastroesofágico/complicações
Seres Humanos
Lactente
Intubação Intratraqueal
Laringoestenose/complicações
Nascimento Prematuro/epidemiologia
Recidiva
Encaminhamento e Consulta
Fatores de Risco
Traqueomalácia/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161013
[St] Status:MEDLINE



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