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dc.contributor.authorO'Sullivan, Brian P.
dc.contributor.authorFinger, Lenna
dc.contributor.authorZwerdling, Robert G.
dc.date2022-08-11T08:09:55.000
dc.date.accessioned2022-08-23T16:48:44Z
dc.date.available2022-08-23T16:48:44Z
dc.date.issued2004-04-14
dc.date.submitted2008-06-18
dc.identifier.citation<p>Chest. 2004 Apr;125(4):1265-9.</p>
dc.identifier.issn0012-3692 (Print)
dc.identifier.pmid15078733
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41325
dc.description.abstractSTUDY 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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15078733&dopt=Abstract">Link to article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1378/chest.125.4.1265
dc.subjectAdolescent
dc.subjectChild
dc.subjectChild, Preschool
dc.subjectDecision Making
dc.subject*Endoscopy
dc.subjectFollow-Up Studies
dc.subjectGlottis
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, Newborn
dc.subjectLaryngeal Diseases
dc.subject*Nasopharynx
dc.subject*Respiratory Sounds
dc.subjectRetrospective Studies
dc.subjectLife Sciences
dc.subjectMedicine and Health Sciences
dc.titleUse of nasopharyngoscopy in the evaluation of children with noisy breathing
dc.typeJournal Article
dc.source.journaltitleChest
dc.source.volume125
dc.source.issue4
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/411
dc.identifier.contextkey533124
html.description.abstract<p>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.</p>
dc.identifier.submissionpathoapubs/411
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages1265-9


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