The changing face of the paediatric microlaryngobronchoscopy (MLB): A two year prospective study. Issue 7 (July 2015)

• Record Type: Journal Article
• Authors: Cadd, Brandon; Yalamanchili, Seema; Virk, Jagdeep Singh; Bajaj, Yogesh
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 79:Issue 7(2015:Jul.)
• Page Start: 1111
• Page End: 1114
• Publication Date: 2015-07
• Subjects: Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2015.04.042
• Languages: English
• ISSNs: 0165-5876

Abstract

<abstract abstract-type="author" id="abs0005"> <title id="sect0005">Abstract</title> <sec> <title id="sect0010">Background</title> <p id="spar0005">Changes in the management and survival of paediatric patients with airway complaints combined with improving survival rates of premature babies have resulted in a different patient population for the paediatric airway surgeon than that previously described in the literature.</p> </sec> <sec> <title id="sect0015">Objectives</title> <p id="spar0010">To examine the presentation, diagnosis, clinical course and outcomes for patients undergoing microlaryngobronchoscopy (MLB).</p> <p id="spar0015"> <italic>Study design</italic>: 2 year prospective longitudinal study.</p> <p id="spar0020"> <italic>Study population</italic>: 210 microlaryngobronchoscopy examinations were performed on a total of 102 patients. Mean age at initial examination was 29.4 months with a male preponderance (68%).</p> </sec> <sec> <title id="sect0020">Results</title> <p id="spar0025">72 (71%) patients had other documented medical co-morbidities with 30 children having no previous medical history. Of the 102 patients the primary diagnoses were: Subglottic Stenosis (29.4%), Laryngomalacia (20.6%), Laryngeal Cleft (16.7%), Normal Anatomy (11.8%) and Vocal Cord pathology (5.9%). The average rate of diagnoses per patient for the whole cohort was 1.57. Of those patients with a diagnosis on examination, 40 had a solitary diagnosis whilst 50 patients (55.5%) were found to have multiple diagnoses, equating to 2.35 diagnoses per patient. Children with a history of prematurity accounted for 18.6% of our cohort with a 100% rate of laryngo-tracheal pathology on examination and an average number of diagnoses per child of 2.21.</p> </sec> <sec> <title id="sect0025">Conclusion</title> <p id="spar0030">Our cohort illustrates the varied population served by today's paediatric airway surgeon alongside common diagnoses and co-pathologies affecting our patients.</p> </sec> </abstract>