Related Experiment Video

Updated: Aug 7, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

The role of fibreoptic laryngoscopy in infants with stridor

M Botma1, A Kishore, H Kubba

  • 1Royal Hospital for Sick Children, Yorkhill, Glasgow, UK. mlarisma@yahoo.co.uk

International Journal of Pediatric Otorhinolaryngology
|September 21, 2000
PubMed

Insights

Flexible fiberoptic laryngoscopy under local anesthesia is a safe and effective method for diagnosing infant stridor. This approach aids surgeons in planning interventions by excluding other causes of stridor.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology

Background:

  • Infant stridor necessitates investigation due to potential seriousness.
  • Laryngomalacia is the most common cause of congenital stridor, typically self-limiting.
  • Excluding other stridor causes is crucial for surgical planning.

Purpose of the Study:

  • To investigate the utility of flexible fiberoptic laryngoscopy under local anesthesia for evaluating inspiratory stridor in infants.
  • To assess the safety, efficacy, and cost-effectiveness of this diagnostic method.

Main Methods:

  • Retrospective analysis of 43 infants with inspiratory stridor undergoing flexible fiberoptic laryngoscopy.
  • Procedure performed in a day surgery unit on non-fasting, non-sedated children under local anesthesia.
  • Evaluation of diagnoses, complications, and need for further intervention.

Main Results:

  • Laryngomalacia diagnosed in 35 infants, vocal cord palsies in six, and two had normal larynges.
  • No complications were reported during the procedures.
  • Only one infant required subsequent intervention.

Conclusions:

  • Flexible fiberoptic laryngoscopy under local anesthesia is a safe and effective method for assessing infant stridor.
  • This technique offers a cost-effective alternative to traditional general anesthesia procedures.
  • The findings support its use in the day surgery setting for prompt diagnosis and management planning.

More Related Videos

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing07:45

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation03:58

The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

Published on: August 2, 2024

Related Concept Videos

Assessment of Airway, Skin Color, and Use of Accessory Muscles01:30

Assessment of Airway, Skin Color, and Use of Accessory Muscles

A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Larynx01:21

Larynx

The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids, corniculates, and...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...