scholarly journals Cervical Cystic Teratoma: An Unusual Cause of Airway Obstruction in the Pediatric Population

Cureus ◽  
2021 ◽  
Author(s):  
Huzaifa Azam ◽  
Muhammad Amir Hanif ◽  
Muhammad Imran Khan ◽  
Ayousha Masood ◽  
Muhammad Usman Hashmi
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Cystic Teratoma

Giant Suprastomal Granuloma as a Laryngeal Mass

1993 ◽  
Vol 102 (9) ◽  
pp. 701-704 ◽  
Author(s):  
Gregory K. Hartig ◽  
Brian J. Wiatrak ◽  
Charles M. Myer ◽  
Charles M. Bower
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Endoscopic Approach ◽  
Common Occurrence ◽  
Endoscopic Evaluation ◽  
Open Excision

The presence of suprastomal granulomas after tracheotomy is a common occurrence. Under most circumstances, this never becomes clinically relevant. However, in the pediatric population, granulomas can on occasion cause partial or complete airway obstruction after decannulation. This report describes 2 cases of giant suprastomal granulomas that presented as laryngeal masses. These cases stress the indications for routine endoscopic evaluation in patients with long-term tracheotomies. Also, the treatment of extensive suprastomal granulomas requires open excision, which differs from the endoscopic approach recommended for smaller granulomas.

Stridor or wheezing? Congenital laryngomalacia misdiagnosed with infantile asthma in young children: a case report

MedPharmRes ◽  
2020 ◽  
Vol 4 (3) ◽  
pp. 21-23
Author(s):  
Thuy Van Thao Nguyen ◽  
Binh Bao Tinh Le
Keyword(s):  
Case Report ◽  
Airway Obstruction ◽  
Diagnostic Criteria ◽  
Pediatric Population ◽  
Global Burden ◽  
History Taking ◽  
Uncontrolled Asthma ◽  
Physical Examinations ◽  
Laboratory Investigations ◽  
Careful History

The prevalence of asthma is sharply increasing in pediatric population and has become a global burden of medicine and economics. Nevertheless, evidence for the diagnostic criteria of this condition is still lacking. This condition leads to over-diagnosis of asthma in cases, especially younger children. Stridor and wheezing, pathologic signs of airway obstruction, are sometimes mistakenly identified. As a result, disorders of extra-thoracic airway obstruction may be misdiagnosed with intrathoracic diseases. An example of this confusion is that a 19-month girl admitted to our hospital with a diagnosis of uncontrolled asthma. Careful history taking, physical examinations and laboratory investigations revealed that the patient has laryngomalacia. We report this case in order to share with pediatric colleagues a valuable clinical experience in approaching children with noisy breathing.

The Effectiveness of Mandibular Distraction in Improving Airway Obstruction in the Pediatric Population

2014 ◽  
Vol 133 (3) ◽  
pp. 352e-359e ◽  
Author(s):  
Youssef Tahiri ◽  
Alex Viezel-Mathieu ◽  
Salah Aldekhayel ◽  
James Lee ◽  
Mirko Gilardino
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Mandibular Distraction

scholarly journals Death Due to Obstruction of Airways by a Hyperplastic Polyp: An Unusual Complication of Treated Desmoid Fibromatosis

2020 ◽  
Vol 10 (2) ◽  
pp. 97-103
Author(s):  
Natasha Richards ◽  
Jayantha Herath
Keyword(s):  
Airway Obstruction ◽  
Tracheostomy Tube ◽  
Hyperplastic Polyp ◽  
Pediatric Population ◽  
Unusual Complication ◽  
Anterior Neck ◽  
Desmoid Fibromatosis ◽  
First Case ◽  
Tracheostomy Tubes ◽  
Abdominal Lesions

Desmoid fibromatosis (DF) is a rare, locally aggressive but benign clonal fibroblastic lesion of deep soft tissue. It can occur at any age. Extra-abdominal lesions are more common in the pediatric population, with equal sex predilection. Desmoid fibromatosis of the head and neck, particularly the anterior neck, is more difficult to manage because of the proximity to vital structures and may eventually require definitive airway management with insertion of a tracheostomy tube. Indwelling tracheostomy tubes carry their own set of complications. This is the case of a 21-month-old boy who died suddenly due to tracheal obstruction by a hyperplastic polyp. He was diagnosed with DF of the neck before he was 1 month old and required an indwelling tracheostomy tube as a result. Chronic tracheostomy intubation can be complicated by granulation tissue polyp or, less commonly, fibroepithelial polyp formation that can become large enough to cause airway obstruction. To the authors’ knowledge, this is the first case of hyperplastic polyp causing fatal airway obstruction.

scholarly journals A Fatal Cause for a Common Presentation

2015 ◽  
Vol 6 (4) ◽  
pp. 178-180
Author(s):  
Henry Emanuel ◽  
Robert Willis
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Careful Attention ◽  
Common Presentation ◽  
Head Neck

ABSTRACT Upper airway obstruction in the pediatric population has a myriad of etiologies, some of which are easily overseen. We emphasize the importance of thorough airway examination and careful attention to unusual signs, which, in this case, uncovered a fatal tumor. How to cite this article Emanuel H, Willis R. A Fatal Cause for a Common Presentation. Int J Head Neck Surg 2015;6(4):178-180.

Use of Helium???Oxygen Mixtures to Relieve Upper Airway Obstruction in a Pediatric Population

2001 ◽  
Vol 111 (9) ◽  
pp. 1512-1514 ◽  
Author(s):  
Anna H. Grosz ◽  
Ian N. Jacobs ◽  
Catherine Cho ◽  
Gregory J. Schears
Keyword(s):  
Airway Obstruction ◽  
Pediatric Population ◽  
Upper Airway ◽  
Upper Airway Obstruction

Adult Tonsillectomy: Current Indications and Outcomes

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P33-P33 ◽  
Author(s):  
Elizabeth Kathryn Hoddeson ◽  
Christine G. Gourin
Keyword(s):  
Postoperative Complications ◽  
Airway Obstruction ◽  
Chronic Infection ◽  
Pediatric Population ◽  
Adult Population ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Complication Rates ◽  
Current Prevalence ◽  
Adult Tonsillectomy

Objective With increased antibiotic usage, the indications for pediatric tonsillectomy have shifted from infection to treatment of airway obstruction. Limited data exists regarding the current prevalence of indications for tonsillectomy in adults. We sought to determine the indications for tonsillectomy in an adult population and identify factors associated with postoperative complications. Methods The medical records of all adult patients (18 or more years of age) who underwent tonsillectomy from 2001–2007 were reviewed. Patients who underwent concurrent procedures were excluded. Results A total of 361 patients met study criteria. Indications for surgery were chronic infection in 207 patients (57%), upper airway obstruction secondary to tonsillar hypertrophy in 98 patients (27%), and suspected neoplasm in 56 patients (16%). Postoperative complications occurred in 54 cases (15%) with hemorrhage in 19 patients (5%), followed by pain and dehydration in 16 patients (4%) and admission for postoperative oxygen desaturations in 11 patients (3%). Hospitalization beyond 24 hours occurred in 18 cases (5%), with emergency room visits for pain and dehydration in 16 patients (4%), and readmission for pain control in 17 cases (5%). Patients who underwent tonsillectomy for upper airway obstruction had an increased incidence of prolonged hospitalization or readmission (19% vs. 6%; P=0.01), while patients who underwent tonsillectomy for infection had an increased incidence of post-operative bleeding (6% vs. 4%; p=0.02). Conclusions Chronic infection remains the most common indication for adult tonsillectomy, in contrast to the pediatric population. Complication rates vary according to the indication for surgery. These data may provide useful information for preoperative counseling.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

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