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Aerodigestive Approach in Evaluating Pediatric Patients With Recurrent Croup
Xiaoxuan Chen1, Nicola Pereira2, Katharina Graw-Panzer3
1Department of Otolaryngology-Head and Neck Surgery, and MD Program, Weill Cornell Medical College, New York, NY, USA.
The Annals of Otology, Rhinology, and Laryngology
|January 6, 2025
Summary
Coordinated endoscopy involving multiple specialists aids in diagnosing recurrent croup in children. This approach identified common issues like bacterial infections and airway abnormalities, guiding management for persistent cases.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Pulmonology
- Pediatric Gastroenterology
- Aerodigestive Medicine
Background:
- Recurrent croup presents a diagnostic challenge in pediatric patients.
- Effective management requires a multidisciplinary approach to identify underlying causes.
Purpose of the Study:
- To evaluate the effectiveness of coordinated endoscopy in diagnosing and managing recurrent croup in pediatric patients.
- To assess the diagnostic yield of a multidisciplinary endoscopic approach.
Main Methods:
- Retrospective review of the REDCap Pediatric Aerodigestive Database.
- Analysis of patients with recurrent croup who underwent coordinated endoscopy (January 2013 - July 2023).
- Review of patient demographics, comorbidities, endoscopic findings, treatments, and outcomes.
Main Results:
- Twenty-five pediatric patients with recurrent croup were identified.
- Common findings included positive bacterial cultures on bronchoalveolar lavage (BAL) (n=10), tracheomalacia (n=7), and subglottic stenosis (SGS) (n=4).
- Multiple abnormalities were identified in 48% of patients by at least two specialists.
Conclusions:
- A comprehensive aerodigestive evaluation is recommended for severe or frequent recurrent croup.
- Coordinated endoscopy is a valuable tool for select pediatric patients unresponsive to medical therapy.
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