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Image-guided pediatric airway endoscopy: A review

Haley Haskett1, Michal Trope2, Antoinette Wannes Daou1

  • 1Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Paediatric Respiratory Reviews
|June 30, 2026
PubMed

Insights

Pediatric airway endoscopy and imaging techniques like X-rays and MRI are crucial for diagnosing childhood airway disorders. Combining these methods enhances diagnostic accuracy and improves patient care.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Medical Imaging

Background:

  • Airway disorders in children require accurate diagnosis and management.
  • Various endoscopic techniques (NPL, MLB, flexible bronchoscopy) are used.
  • Imaging modalities (X-ray, fluoroscopy, CT, MRI) provide complementary information.

Purpose of the Study:

  • To review the combined utility of endoscopy and imaging in pediatric airway evaluation.
  • To highlight how integrated approaches improve diagnostic capabilities.
  • To emphasize the role in guiding treatment and multidisciplinary care.

Main Methods:

  • Review of current literature on pediatric airway endoscopy and imaging.
  • Discussion of the synergistic benefits of combining these diagnostic tools.
  • Analysis of case examples illustrating combined modality use.

Main Results:

  • Endoscopy is the gold standard for direct visualization of airway pathology.
  • Imaging modalities enhance the understanding of structural and functional airway abnormalities.
  • Combined use leads to more comprehensive assessments and improved diagnostic accuracy.

Conclusions:

  • The integration of pediatric airway endoscopy and advanced imaging significantly improves diagnostic accuracy.
  • This combined approach is essential for effective treatment planning and management of pediatric airway disorders.
  • Multidisciplinary collaboration, supported by comprehensive imaging and endoscopic evaluation, optimizes clinical outcomes for children.

Keywords:
Airway endoscopyAirway evaluationAirway imagingBronchoscopyComputed tomographyFluoroscopyX-rays

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