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Related Experiment Videos

Peroral endoscopy in neonates

J A Schild, L D Holinger

    International Journal of Pediatric Otorhinolaryngology
    |June 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Endoscopic examinations in neonates are safe and reveal diverse conditions like vocal cord palsies and laryngomalacia. General anesthesia is often unnecessary for these essential diagnostic procedures.

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    Area of Science:

    • Pediatric Otolaryngology
    • Neonatal Medicine
    • Diagnostic Endoscopy

    Background:

    • Neonatal airway issues are complex and require accurate diagnosis.
    • Endoscopic evaluation is crucial for identifying congenital and acquired laryngeal pathologies in infants.
    • A variety of conditions necessitate specialized examination in the neonatal population.

    Purpose of the Study:

    • To evaluate the safety and indications of endoscopic examinations in neonates.
    • To identify the spectrum of airway diseases diagnosed via endoscopy in this age group.
    • To assess the necessity of general anesthesia for neonatal endoscopic procedures.

    Main Methods:

    • Retrospective review of 100 neonates undergoing 171 endoscopic procedures over a 5-year period.

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  • Detailed analysis of diagnoses, including vocal cord palsies, laryngomalacia, laryngeal stenosis, cardiovascular anomalies, and foreign bodies.
  • Documentation of procedures performed, anesthesia use, and patient outcomes, including tracheotomy rates and mortality.

    • Main Results:

    • Vocal cord palsies (36), laryngomalacia (24), and laryngeal stenosis (13) were common findings.
    • Tracheotomy was required in 28 neonates, often associated with vocal cord palsies, laryngeal stenosis, or cardiovascular disease.
    • Endoscopic procedures were safely performed, with general anesthesia used in a minority of cases (18 for tracheotomy, 7 for repeat procedures).
    • Three deaths occurred, all attributed to underlying conditions, not the procedures themselves.

    Conclusions:

    • Endoscopic examinations are safe and valuable for diagnosing a wide range of conditions in neonates.
    • The findings underscore the diverse indications for neonatal endoscopy.
    • General anesthesia is not always mandatory for successful neonatal endoscopic evaluations.