RT Journal Article
SR Electronic
T1 The laryngeal pathology in early childhood
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P4471
VO 44
IS Suppl 58
A1 Elena Radtsig
A1 Anna Vasina
A1 Mikhail Bogomilsky
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P4471.abstract
AB Introduction and background. There are two main laryngeal functions: breathing and phonation. The main laryngeal diseases symptoms (dysphonia/aphonia and breathlessness) are connected with them. In early childhood we meet with another one important symptom- stridor. This symptoms are not specific and can be part of a variety of illnesses.Aims and objectives. To analyze structural laryngeal pathology in babies and toddlers.Methods. The results of endoscopic examination (with flexible and rigid optic systems) were estimated in 135 patients in the age from 6 day to 3 year old.Results/ Indications for endoscopic laryngeal examination were stridor (37,8%), hoarseness (25,2%), breathlessness (12,6%) and cough (9,6%). In 24 (17,8%) cases laryngeal pathology was found unexpectedly. Endoscopic examination revealed laryngeal trauma in 1 case (0,7%), acute laryngitis in 10 (7%), hemangioma of larynx in 10 (7%), vocal nodules in 18 (12%), laryngeal paresis in 11 (7,3%), laryngomalacia in 30 (20%), aspiration syndrome in 9 (6%), cicatricial stenosis of the larynx in 4 (2,6%), papillomatosis in 2 (1,3%). Combined pathology of the larynx was observed in 39 (28,9%) children.Conclusions/ The complains are not specific and can be seen with different pathology. Only an endoscopic examination can help in diagnosing and identify the right way of treatment (conservative (medicine) or surgical).