PMID: 9439393Jan 24, 1998Paper

Neonatal upper airway assessment by awake flexible laryngoscopy

The Annals of Otology, Rhinology, and Laryngology
R G Berkowitz

Abstract

Awake flexible laryngoscopy (AFL) provides simple and quick assessment of both the structure and function of the upper airway. To determine its value in neonates, a prospective study was carried out over 2 years of 110 neonates (80 term, 30 premature) under 6 weeks of age (corrected for prematurity) presenting with symptoms suggestive of upper airway disease who underwent AFL performed by the author. A diagnosis was made in 79 cases, while no cause was found for the symptoms in 31. The commonest diagnoses were vocal cord paralysis (29; bilateral 16, unilateral 13), nasal stenosis (9), laryngomalacia (9), glossoptosis (7), subglottic stenosis (6), and choanal atresia (5; bilateral 2, unilateral 3). The AFL was repeated in 31 neonates and the condition was found to be stable in 16, improved in 8, resolved in 2, and progressed in 1, and an additional diagnosis was made in 4. Endoscopy under general anesthesia with or without corrective surgery was performed in 15 neonates (7 also having repeat AFL). The diagnosis was confirmed in 14 and an additional tracheal abnormality was found in 1. The AFL was complicated by cyanosis in 2 neonates and epistaxis in 1, but all complications resolved with minimal intervention. These data suggest...Continue Reading

References

Sep 1, 1976·The Annals of Otology, Rhinology, and Laryngology·H D SilbermanJ A Tucker
May 1, 1992·Journal of Pediatric Surgery·H LindahlH Sairanen
Apr 1, 1991·International Journal of Pediatric Otorhinolaryngology·D F aWengenF J Frei
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Jan 1, 1987·The Annals of Otology, Rhinology, and Laryngology·D B Hawkins, R W Clark

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Citations

May 25, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ioannis MoumoulidisTom Wilson
Apr 19, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Turid Omland, Kjell Brøndbo
Mar 28, 2008·Journal of the Chinese Medical Association : JCMA·Wan-Teh ChenBetau Hwang
Jan 4, 2005·International Journal of Pediatric Otorhinolaryngology·Charles D Bluestone
Apr 6, 2004·Otolaryngologic Clinics of North America·Sanjay R Parikh
Jul 31, 2014·International Journal of Pediatric Otorhinolaryngology·Dennis Ho-Wo-CheongLily H P Nguyen
Oct 20, 2001·The Annals of Otology, Rhinology, and Laryngology·J F Lapeña, R G Berkowitz
Jul 27, 2005·The Annals of Otology, Rhinology, and Laryngology·Robert G BerkowitzPaul M Pilowsky
Oct 11, 2003·The Annals of Otology, Rhinology, and Laryngology·Robert G Berkowitz
Apr 10, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Robert G Berkowitz
Dec 15, 2017·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Prasanna Kumar Saravanam, Vinoth Manimaran

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