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Int. J. Pediatr. Otorhinolaryngol. · Sep 2011
Comparative StudySubglottic stenosis: another challenge for intubation and potential mechanism of airway obstruction in Pierre Robin Sequence.
- Kolin Knapp, Rosser Powitzky, and Paul Digoy.
- Oklahoma University Health Science Center, Oklahoma City, OK 73126-0901, United States. kolin-knapp@ouhsc.edu
- Int. J. Pediatr. Otorhinolaryngol. 2011 Sep 1;75(9):1075-7.
ObjectiveTo determine the endotracheal tube (ETT) size and presence of subglottic narrowing in children less than 1 year old with Pierre Robin Sequence (PRS).Materials And MethodsWe performed a retrospective review from 2005 to 2009 of infants with PRS who underwent diagnostic laryngoscopy (DL) and intubation.ResultsFifteen children with a median age of 25 days were reviewed. All patients, except one, were born full term. Subglottic narrowing was visualized in 5 patients (33%). 73% of all patients required an ETT size smaller than what is recommended by intubation guidelines in the literature in regards to normative data based on age and weight.ConclusionInfants with PRS may have a higher incidence of subglottic stenosis and require a smaller ETT compared to the normal population. This pilot study warrants a larger prospective investigation to validate these findings.Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
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