Title

Use of nasopharyngoscopy in the evaluation of children with noisy breathing

UMMS Affiliation

Department of Pediatrics

Date

4-14-2004

Document Type

Article

Subjects

Adolescent; Child; Child, Preschool; Decision Making; *Endoscopy; Follow-Up Studies; Glottis; Humans; Infant; Infant, Newborn; Laryngeal Diseases; *Nasopharynx; *Respiratory Sounds; Retrospective Studies

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

STUDY OBJECTIVE: To evaluate the practice of using nasopharyngoscopy without routine fiberoptic bronchoscopy for children presenting to a pediatric pulmonary practice with nonspecific noisy breathing. DESIGN: Retrospective chart review. Records of patients who underwent nasopharyngoscopy between January 1, 1990, and December 31, 1999, were reviewed. Follow-up was obtained by office records and direct contact with the patient's family and/or primary care physician. SETTING: Academic, tertiary care facility. RESULTS: Eighty-one children who underwent upper airway endoscopy to evaluate noisy breathing consistent with extrathoracic lesions were identified. One child had two evaluations separated by years for differing complaints, making a total of 82 procedures. Stridor was the chief complaint in three fourths of the children. Half of the children with stridor were found to have laryngomalacia. Long-term follow-up was available for 75 of 81 children, with median follow-up of 6 years (range, 1 to 13 years). No medical problems related to missed airway lesions developed in any infants initially evaluated using nasopharyngoscopy. CONCLUSIONS: Nasopharyngoscopy without lower airway endoscopy can be used safely for the initial evaluation of noisy breathing in infants and children provided excellent follow-up is available.

Rights and Permissions

Citation: Chest. 2004 Apr;125(4):1265-9.

Related Resources

Link to article in PubMed

Journal Title

Chest

PubMed ID

15078733