Usefulness of Upper Airway Endoscopy in the Evaluation of Pediatric Pulmonary Aspiration


Authors
Adil E, Gergin O, Kawai K, Rahbar R, Watters K

Publication
JAMA Otolaryngol Head Neck Surgery

Date
April 2016

Conclusions
“In children with chronic aspiration who warrant further evaluation, flexible laryngoscopy alone is not sufficient. There is a high incidence of aspiration-related airway lesions identified on DLB and not seen on flexible laryngoscopy, with 66.3% (110 of 166) of those lesions eventually requiring surgical intervention. Patients 1 year or older with a history of recurrent pneumonia or intubation are more likely to have an aspiration-related airway lesion.”


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International Pediatric ORL Group (IPOG) Laryngomalacia Consensus Recommendations

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Swallowing Dysfunction Among Patients With Laryngeal Cleft: More Than Just Aspiration?