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

Study Type
Retrospective Cohort Study

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?