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A retrospective analysis of airway endoscopy in patients less than 1‐month old
Author(s) -
Ungkat Kitirat,
Friedman Ellen M.,
Sulek Marcelle
Publication year - 1998
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199811000-00024
Subject(s) - medicine , airway , endoscopy , retrospective cohort study , general surgery , surgery
Objectives: To review the authors' experience with neonates who underwent endoscopy over an 8‐year period. Study Design: Retrospective review in a tertiary care children's hospital. Methods: Sixty‐two neonates who underwent endoscopy were reviewed. Results: Common indications for endoscopy were stridor (56%), apnea/cyanotic episodes (30%), and feeding difficulty (23%). Laryngeal abnormalities were the most frequent finding, including laryngomalacia (19%), glottic edema (19%), and vocal cord paralysis (13%). Pierre Robin sequence was the most common associated anomaly. Forty‐eight neonates (77.4%) had more than one endoscopic finding. Gastroesophageal reflux diagnosed by barium swallow or esophageal pH monitoring was found in 34%. Gastroesophageal reflux was the only identified etiologic factor in four cases. Computed tomography and magnetic resonance imaging provided less information than endoscopy. Conclusions: Endoscopy in symptomatic neonates can determine etiology of distress most of the time. Multiple diagnoses were found in 77.4% of the neonates, emphasizing the need for a thorough aerodigestive tract examination. Concomitant diagnoses including gastroesophageal reflux, congenital heart disease, and pulmonary disease were found in 87.1% of neonates. Neonates have a higher likelihood of having multiple lesions in the aerodigestive tract as compared with older infants or children. Laryngoscope , 108:1724–1728, 1998