Tracheobronchomalacia in pediatric patients with esophageal atresia: comparison of diagnostic laryngoscopy/bronchoscopy and dynamic airway multidetector computed tomography

Journal of Pediatric Surgery
Monawat NgernchamRussell W Jennings

Abstract

Diagnostic laryngoscopy and bronchoscopy (DLB) has been the traditional preoperative diagnostic modality for evaluating presence and severity of tracheobronchomalacia (TBM), and requires anesthesia. Alternatively, multidetector computed tomography (MDCT) is potentially a noninvasive modality that provides high-resolution, 3-dimensional (3D) imaging of the thorax providing preoperative guidance for pediatric surgeons. This study compares MDCT with intraoperative DLB in the assessment of TBM in symptomatic pediatric patients with esophageal atresia (EA). Following IRB approval all pediatric patients (≤18 years) who had EA and who underwent an MDCT study as a preoperative evaluation of TBM prior to aortopexy were retrospectively reviewed. Patients with incomplete reports on intraoperative DLB or MDCT studies were excluded. Two pediatric radiologists independently evaluated all MDCT studies in a blinded fashion. On both DLB and MDCT studies, TBM was scored as present or absent in five anatomic segments: upper, middle, and lower trachea, as well as right and left main stem bronchi. Operative reports including DLB findings were reviewed and compared to findings from MDCT study using the chance corrected kappa (κ) coefficient. Diagnos...Continue Reading

References

Jul 1, 1979·Histopathology·M P Wailoo, J L Emery
Feb 1, 1987·AJR. American Journal of Roentgenology·E E FreyY Sato
Jun 1, 1986·Journal of Pediatric Surgery·S K GreenholzJ R Lilly
Feb 1, 1987·Journal of Pediatric Surgery·L SpitzR J Brereton
Sep 1, 1984·The Annals of Otology, Rhinology, and Laryngology·B Benjamin
Feb 1, 1994·Archives of Otolaryngology--head & Neck Surgery·I N JacobsW P Potsic
Apr 24, 1999·The Annals of Otology, Rhinology, and Laryngology·D L WalnerR T Cotton
May 15, 2001·Journal of Computer Assisted Tomography·S L AquinoT C McLoud
May 15, 2002·Chest·Phillip M Boiselle, Armin Ernst
Jul 20, 2002·AJR. American Journal of Roentgenology·Phillip M BoiselleArmin Ernst
Nov 20, 2002·AJR. American Journal of Roentgenology·Preeyacha PacharnLane F Donnelly
Jun 12, 2003·Radiologic Clinics of North America·Phillip M BoiselleArmin Ernst
Jun 15, 2006·Respirology : Official Journal of the Asian Pacific Society of Respirology·Septimiu D Murgu, Henri G Colt
Aug 28, 2007·Journal of Thoracic Imaging·Edward Y Lee, Marilyn J Siegel
Feb 11, 2009·Journal of Thoracic Imaging·Edward Y LeePhillip M Boiselle
Jun 30, 2009·Radiology·Edward Y Lee, Phillip M Boiselle
Apr 23, 2011·AJR. American Journal of Roentgenology·Edward Y LeePhillip M Boiselle
Sep 6, 2011·Radiologic Clinics of North America·Jeffrey C HellingerMonica Epelman
Jan 21, 2014·Journal of Pediatric Surgery·Russell W JenningsJohn E Foker

❮ Previous
Next ❯

Citations

Apr 23, 2016·Pediatric Pulmonology·David J BirnkrantTerry L Noah
Jun 16, 2016·Seminars in Pediatric Surgery·Jose Carlos FragaPeter C W Kim
May 31, 2018·Pediatric Surgery International·Patricio VarelaHiroki Nakamura
Jul 6, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ali KamranCharles J Smithers
Dec 28, 2018·JAMA Otolaryngology-- Head & Neck Surgery·Sukgi ChoiRussell Jennings
Jul 28, 2020·Pediatric Pulmonology·Anastassios C KoumbourlisThomas Kovesi
Jan 31, 2017·Pediatric Surgery International·Kosaku Maeda
Jan 5, 2018·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·Pierre FayouxSam Daniel
Jul 20, 2019·The European Respiratory Journal·Colin WallisKostas Priftis
Dec 21, 2019·The European Respiratory Journal·Suzanne Crowley, Kai-Håkon Carlsen
Nov 12, 2019·Acta Paediatrica·Stephanie LejeuneCaroline Thumerelle
Oct 31, 2020·Thorax·Bernadette EldersBas Pullens
Feb 21, 2021·BMJ Case Reports·Kathryn MullanDara O' Donoghue
Mar 18, 2020·Paediatric Respiratory Reviews·Sergei M HermelijnJ Marco Schnater
Jun 27, 2021·Seminars in Pediatric Surgery·Ali KamranRussell W Jennings
Jun 27, 2021·Seminars in Pediatric Surgery·Gaston Bellia-MunzonPatricio Bellia-Munzon

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.