Document Detail


Changing trends in neonatal subglottic stenosis.
MedLine Citation:
PMID:  10629484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine whether there are any changes in the incidence and management of neonatal subglottic stenosis (SGS). METHODS: A retrospective chart review of 416 infants who were admitted to the neonatal intensive care unit of the Children's National Medical Center between July 1, 1995, and June 30, 1996, was carried out. The incidence of airway obstruction requiring anterior cricoid split or placement of tracheotomy tube was determined and compared with the incidence studied 10 years ago at the same institution. RESULTS: One of 416 neonates required surgical intervention for airway obstruction caused by SGS, for an overall neonatal SGS incidence of 0.24%. When only the neonates who were intubated for 48 hours or longer were considered, the incidence of SGS was 0.49% (1/204). In neonates who were intubated for 48 hours or longer and survived, the incidence of SGS was 0.63% (1/160). This is in comparison with the incidences of 0.65% (3/462), 1.5% (3/195), and 1.9% (3/159), respectively, seen in a study done at the Children's National Medical Center 10 years ago. Five infants in this current study required placement of a tracheotomy tube for reasons other than SGS. Two infants needed tracheotomy tube placement for micrognathia, and 3 others for central hypotonia, an omphalocele that required multiple surgical procedures, and choanal atresia with a serious heart anomaly, which was a manifestation of CHARGE association. None of these 5 infants had evidence of SGS at rigid endoscopy preceding the tracheotomy tube placement. CONCLUSION: The incidence and management of neonatal SGS remain unchanged during this study period when compared with those of 10 years ago.
Authors:
S S Choi; G H Zalzal
Related Documents :
14577814 - Nasopharyngoscopy in robin sequence: clinical and predictive value.
8331504 - A new bowel elongation technique for the short-bowel syndrome using the isolated bowel ...
12512894 - Experimentally induced rhinosinusitis in rabbits.
22833874 - Spinal anesthesia for noncardiac surgery in infants with congenital heart diseases.
19706584 - Chronologic changes in neonatal eeg findings in periventricular leukomalacia.
15830244 - Unnatural causes of sudden unexpected deaths initially thought to be sudden infant deat...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  122     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2000 Jan 
Date Detail:
Created Date:  2000-02-03     Completed Date:  2000-02-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  61-3     Citation Subset:  IM    
Affiliation:
Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's National Medical Center, George Washington University, Washington, DC, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / etiology
Humans
Infant, Newborn
Intubation, Intratracheal / adverse effects
Laryngostenosis / complications,  epidemiology,  therapy*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Endoscopic repair of cerebrospinal fluid rhinorrhea.
Next Document:  ImmunoCAP and HY*TEC enzyme immunoassays in the detection of allergen-specific IgE compared with ser...