A new dimension of success in the management of airway disease in children with neurological deficit.

Details

Serval ID
serval:BIB_DE02E3DEAF22
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A new dimension of success in the management of airway disease in children with neurological deficit.
Journal
International journal of pediatric otorhinolaryngology
Author(s)
Kokje VBC, Mermod M., Bertinazzi M., Sandu K.
ISSN
1872-8464 (Electronic)
ISSN-L
0165-5876
Publication state
Published
Issued date
12/2020
Peer-reviewed
Oui
Volume
139
Pages
110483
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Anomalies of the larynx and trachea can cause respiratory distress in infants and older children. Depending on its nature, degree and extent of the disease invasive open surgery is indicated. Non-airway-related co-morbidities increase the challenges in its treatment. Neurological deficit poses a great challenge as it is associated with hypotonia and causes diminished laryngeal coordination. The definition of success in treatment of laryngotracheal disease has always focused on the post-operative functional outcomes: breathing, voice swallowing. The aim of this study is to describe a new dimension of success in the management of laryngotracheal disease in children with moderate neurological deficit, where the expected functional gain is less than in otherwise healthy children.
This retrospective observational study includes all patients who have undergone open reconstructive airway surgery between 2012 and 2017. Control patients without neurological deficit and cases with moderate neurological deficit were included. Functional outcome data was obtained from clinical records and two questionnaires were filled in by the parents of the children: one the pediatric voice-handicap index (pVHI) and a quality of life questionnaire.
Thirty-two children were included of which ten had moderate neurological deficit. Both groups revealed post-operatively an improvement in the functional outcomes: breathing, voice and swallowing, however, as expected, a trend was observed towards less functional improvement in children with neurological deficit. Both groups reveal a remarkable gain in quality of life (QoL).
Indicating the QoL to be an unidentified, dimension of success in the management of laryngotracheal disease in children with moderate neurological deficit.
Keywords
Airway disease, Airway surgery, Congenital tracheal stenosis, Pediatric airway, Quality of life, Subglottic stenosis
Pubmed
Web of science
Open Access
Yes
Create date
16/11/2020 15:50
Last modification date
07/07/2021 6:36
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