Research Article
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Year 2019, , 241 - 244, 30.09.2019
https://doi.org/10.16899/jcm.606183

Abstract

References

  • 1. Ekşioğlu AS, Çınar HG, Şenel S. Konjenital Koanal Atrezide Bilgisayarlı Tomografi Bulguları. Türkiye Çocuk Hastalıkları Dergisi 2013;7(4), 183-187.
  • 2. Petkovska L, Petkovska I, Ramadan S, Aslam MO. CT evaluation of congenital choanal atresia: Our experience and review of the literature. Australas Radiol 2007;51:236-9.
  • 3. Ovalı F, Solunum sistemi anomalileri.In: Tunçer M, Özek E (eds) Neonatolojinin temel ilkeleri ve acilleri, 1.baskı, Günes Tıp Kitabevi, Ankara 2007:202-5.
  • 4. Bakır, S. (2015). KBB notları. Ankara: Derman Tıbbi Yayıncılık.
  • 5. Bülbül A, Taşdemir M, Okan F, ark. Yenidoğan döneminde idiopatik konjenital bilateral vokal kord paralizisi. Şişli Etfal Tıp Bülteni 2008;42(4), 1-4.
  • 6. Slovis TL, Eggli DF. Congenital anomalies and acquired lesions. In: Jerald P Kuhn; Thomas L. Slovis, Jack O. Haller, (editors). Caffey’s Pediatric Diagnostic Imaging, Volume 1. 10th ed. USA: Elsevier 2004;22-28.
  • 7. Rejjal A, Alaiyan S, Coates R, Abuzeid M. The prevalence and spectrum of brain abnormalities in congenital choanal atresia. Neuropediatrics 1994;25:85-8.
  • 8. Berkowitz RG. Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis 2007;136:649-652.
  • 9. Daniel SJ. The upper airway: congenital malformations.Paediatr Respir Rev 2006;7: 260-263.
  • 10. Miyamoto RC, Parikh SR, Gellad W, Licameli GR. Bilateral congenital vocal cord paralysis: a 16-year institutional review 2005;133: 241-245.
  • 11. Strychowsky JE, Rukholm G, Gupta MK, Reid D. Unilateral vocal fold paralysis after congenital cardiothoracic surgery: a meta-analysis. Pediatrics 2014;133(6), e1708-e1723.
  • 12. Rodney JP, Thompson JL, Anderson MP, Burkhart HM. Neonatal vocal fold motion impairment after complex aortic arch reconstruction: What should parents expect after diagnosis?. International journal of pediatric otorhinolaryngology 2019;120, 40-43.
  • 13. García-Torres E, Antón-Pacheco JL, Luna-Paredes M, et al. Vocal cord paralysis after cardiovascular surgery in children: incidence, risk factors and diagnostic options. European Journal of Cardio-Thoracic Surgery 2019.
  • 14. Mandhan P, Brown S, Kukkady A, Samarakkody U. Surgical closure of patent ductus arteriosus in preterm low birth weight infants. Congenit. Heart Dis. 2009; 4: 34–7.
  • 15. Pereira KD, Webb BD, Blakely ML, Cox CS Jr, Lally KP. Sequelae of recurrent laryngeal nerve injury after patent ductus arteriosus ligation. Int. J. Pediatr. Otorhinolaryngol. 2006;70:1609–12.
  • 16. Rukholm G, Farrokhyar F, Reid D. Vocal cord paralysis post patent ductus arteriosus ligation surgery: Risks and co-morbidities. Int. J. Pediatr. Otorhinolaryngol. 2012;76:1637–41.
  • 17. Clement WA, El-Hakim H, Phillipos EZ, Cote JJ. Unilateral vocal cord paralysis following patent ductus arteriosus ligation in extremely low-birthweight infants. Arch. Otolaryngol. Head Neck Surg. 2008;134:28–33.
  • 18. Kovesi T, Porcaro F, Petreschi F, Trozzi M, Bottero S, Cutrera R. Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula. International journal of pediatric otorhinolaryngology 2018;112, 45-47.
  • 19. Irace AL, Dombrowski ND, Kawai K, et al. Aspiration in children with unilateral vocal fold paralysis. The Laryngoscope 2019;129(3), 569-573.
  • 20. Bedwell J, Zalzal G. Laryngomalacia. Seminars in Pediatric Surgery 2016;25(3), 119–122.
  • 21. Jefferson ND, Cohen AP, Rutter MJ. Subglottic stenosis. Seminars in Pediatric Surgery 2016;25(3), 138–143.
  • 22. Myer CM, O'Connor DM, Cotton RT. Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol 1994;103: 319-323.

Investigation of Upper Respiratory Tract Pathologies in Neonatal Intensive Care Unit

Year 2019, , 241 - 244, 30.09.2019
https://doi.org/10.16899/jcm.606183

Abstract

Abstract

Aim

Respiratory diseases
are very common in neonatal intensive care units, but most of them are
respiratory distress syndrome with lower respiratory pathologies, transient
tachypnea of ​​newborn and meconium aspiration syndrome. Following the advances
in neonatalology science, the survival of more babies and taking respiratory
support for a longer period of time leads to possible upper respiratory tract
pathologies in these babies. In addition, congenital anomalies are common in
our country, where consanguineous marriages are still very common. In this
study, we aimed to present the upper respiratory tract pathologies followed by
congenital and acquired causes and to raise awareness of these dangerous
diseases which are sometimes overlooked.

Materials
and Methods

In this study, files of
patients hospitalized in Neonatal Intensive Care Unit (NICU) of Selçuk
University Medical Faculty between 2016-2019 were reviewed retrospectively.

Results

During this period,
approximately 1800 babies were followed. 340 of these infants were asked to
consult from
Department of Otolaryngology-Head and Neck Surgery with a
preliminary diagnosis of upper respiratory tract pathology. Coanal atresia in 6
cases, vocal cord paralysis in 20 cases, subglottic stenosis in 2 cases and
laryngomalacia in 14 cases were detected.

Conclusion















In the light of the
developments in NICUs, more premature babies live and infants with severe
congenital anomalies, especially congenital heart disease, are frequently
undergone surgical procedures. As a result of these conditions, it is thought
that upper respiratory tract pathology should be considered in the follow-up of
the patients or in the post-operative period.

References

  • 1. Ekşioğlu AS, Çınar HG, Şenel S. Konjenital Koanal Atrezide Bilgisayarlı Tomografi Bulguları. Türkiye Çocuk Hastalıkları Dergisi 2013;7(4), 183-187.
  • 2. Petkovska L, Petkovska I, Ramadan S, Aslam MO. CT evaluation of congenital choanal atresia: Our experience and review of the literature. Australas Radiol 2007;51:236-9.
  • 3. Ovalı F, Solunum sistemi anomalileri.In: Tunçer M, Özek E (eds) Neonatolojinin temel ilkeleri ve acilleri, 1.baskı, Günes Tıp Kitabevi, Ankara 2007:202-5.
  • 4. Bakır, S. (2015). KBB notları. Ankara: Derman Tıbbi Yayıncılık.
  • 5. Bülbül A, Taşdemir M, Okan F, ark. Yenidoğan döneminde idiopatik konjenital bilateral vokal kord paralizisi. Şişli Etfal Tıp Bülteni 2008;42(4), 1-4.
  • 6. Slovis TL, Eggli DF. Congenital anomalies and acquired lesions. In: Jerald P Kuhn; Thomas L. Slovis, Jack O. Haller, (editors). Caffey’s Pediatric Diagnostic Imaging, Volume 1. 10th ed. USA: Elsevier 2004;22-28.
  • 7. Rejjal A, Alaiyan S, Coates R, Abuzeid M. The prevalence and spectrum of brain abnormalities in congenital choanal atresia. Neuropediatrics 1994;25:85-8.
  • 8. Berkowitz RG. Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis 2007;136:649-652.
  • 9. Daniel SJ. The upper airway: congenital malformations.Paediatr Respir Rev 2006;7: 260-263.
  • 10. Miyamoto RC, Parikh SR, Gellad W, Licameli GR. Bilateral congenital vocal cord paralysis: a 16-year institutional review 2005;133: 241-245.
  • 11. Strychowsky JE, Rukholm G, Gupta MK, Reid D. Unilateral vocal fold paralysis after congenital cardiothoracic surgery: a meta-analysis. Pediatrics 2014;133(6), e1708-e1723.
  • 12. Rodney JP, Thompson JL, Anderson MP, Burkhart HM. Neonatal vocal fold motion impairment after complex aortic arch reconstruction: What should parents expect after diagnosis?. International journal of pediatric otorhinolaryngology 2019;120, 40-43.
  • 13. García-Torres E, Antón-Pacheco JL, Luna-Paredes M, et al. Vocal cord paralysis after cardiovascular surgery in children: incidence, risk factors and diagnostic options. European Journal of Cardio-Thoracic Surgery 2019.
  • 14. Mandhan P, Brown S, Kukkady A, Samarakkody U. Surgical closure of patent ductus arteriosus in preterm low birth weight infants. Congenit. Heart Dis. 2009; 4: 34–7.
  • 15. Pereira KD, Webb BD, Blakely ML, Cox CS Jr, Lally KP. Sequelae of recurrent laryngeal nerve injury after patent ductus arteriosus ligation. Int. J. Pediatr. Otorhinolaryngol. 2006;70:1609–12.
  • 16. Rukholm G, Farrokhyar F, Reid D. Vocal cord paralysis post patent ductus arteriosus ligation surgery: Risks and co-morbidities. Int. J. Pediatr. Otorhinolaryngol. 2012;76:1637–41.
  • 17. Clement WA, El-Hakim H, Phillipos EZ, Cote JJ. Unilateral vocal cord paralysis following patent ductus arteriosus ligation in extremely low-birthweight infants. Arch. Otolaryngol. Head Neck Surg. 2008;134:28–33.
  • 18. Kovesi T, Porcaro F, Petreschi F, Trozzi M, Bottero S, Cutrera R. Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula. International journal of pediatric otorhinolaryngology 2018;112, 45-47.
  • 19. Irace AL, Dombrowski ND, Kawai K, et al. Aspiration in children with unilateral vocal fold paralysis. The Laryngoscope 2019;129(3), 569-573.
  • 20. Bedwell J, Zalzal G. Laryngomalacia. Seminars in Pediatric Surgery 2016;25(3), 119–122.
  • 21. Jefferson ND, Cohen AP, Rutter MJ. Subglottic stenosis. Seminars in Pediatric Surgery 2016;25(3), 138–143.
  • 22. Myer CM, O'Connor DM, Cotton RT. Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol 1994;103: 319-323.
There are 22 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Murat Konak 0000-0001-8728-4541

Ömer Erdur 0000-0002-5596-0100

Muhammed Yaşar Kılınç This is me 0000-0001-6227-2085

Hanifi Soylu 0000-0003-0367-859X

Publication Date September 30, 2019
Acceptance Date September 11, 2019
Published in Issue Year 2019

Cite

AMA Konak M, Erdur Ö, Kılınç MY, Soylu H. Investigation of Upper Respiratory Tract Pathologies in Neonatal Intensive Care Unit. J Contemp Med. September 2019;9(3):241-244. doi:10.16899/jcm.606183