Bronchoscopy as a screening tool for symptomatic tracheomalacia in oesophageal atresia

Thakkar, Hemanshoo; Upadhyaya, Manasvi; Yardley, Iain

doi:10.1016/j.jpedsurg.2017.11.003

Cited by 10 publications

(17 citation statements)

References 9 publications

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“…This was illustrated by a study of a select population of 90 children with oesophageal atresia who had at least one other malformation consistent with VACTERL syndrome, including 5.6% who presented with a persistent left superior vena cava. 28 Tracheal anomalies are very frequent in cases of oesophageal atresia with tracheo-oesophageal fistulas 6,11,13 and can be diagnosed using CT scans, although laryngotracheal endoscopy remains the standard examination. 6,13 In our study, some cases of confirmed tracheomalacia and tracheal stenosis were discovered on CT scans.…”

Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

“…28 Tracheal anomalies are very frequent in cases of oesophageal atresia with tracheo-oesophageal fistulas 6,11,13 and can be diagnosed using CT scans, although laryngotracheal endoscopy remains the standard examination. 6,13 In our study, some cases of confirmed tracheomalacia and tracheal stenosis were discovered on CT scans. However, CT scans may be useful in cases of tracheal stenosis, to assess the length of stenosis as well as the vascular environment.…”

Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

“…7,14 The prevalence of tracheomalacia in oesophageal atresia has been reported to range from 65% to 89% in studies, with reported differences between neonates, young children and teenagers. 6,11,13 Although CT scans do not provide dynamic analysis, previous studies have shown that tracheomalacia could be suspected in cases with reduced tracheal lumen on end-expiratory images. These were in children able to perform inspiratory and end-expiratory manoeuvres and in young children under general anaesthesia and during passive breath holding.…”

Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

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Bronchopulmonary and vascular anomalies are frequent in children with oesophageal atresia

et al. 2019

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Aim: Oesophageal atresia is frequently associated with other malformations, and our aim was to use computed tomography (CT) to explore intrathoracic malformations in patients with this condition. Method: This was retrospective study of children aged 0-16 with oesophageal atresia who were born in 1996-2013 and followed up at the French reference centre for rare oesophageal diseases at the University of Lille. Computed tomography scans were available for 48 of the 234 patients during follow-up visits, and these were reviewed by a thoracic radiologist. Results: More than two-thirds of the scans were performed to explore persistent respiratory symptoms. We found that six patients had a pulmonary malformations: four lobar agenesis, one right pulmonary aplasia and one congenital cystic adenomatoid malformation. Computed tomography enabled us to diagnose unexpected thoracic malformations in 16 patients: four lobar agenesis, six arteria lusoria, five persistent left superior vena cava and one partial anomalous pulmonary venous return. It also confirmed the diagnoses of suspected malformations in five patients: one congenital cystic adenomatoid malformation, one pulmonary hypoplasia, two right-sided aortic arches and one communicating bronchopulmonary foregut malformation. Conclusion: Intrathoracic anomalies were frequently associated with oesophageal atresia, and contrast-enhanced chest CT scans should be performed on patients with persistent respiratory symptoms.

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Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

Section: If Laryngotracheal Endoscopy Not Informativementioning

confidence: 99%

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Bronchopulmonary and vascular anomalies are frequent in children with oesophageal atresia

et al. 2019

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“…An advantage of flexible bronchoscopy is less disruption and distortion of baseline airway architecture when compared to rigid bronchoscopy. Together, both rigid and flexible bronchoscopy provide the best global assessment of the airway . Bronchoscopy can also help predict the likeliness that surgical intervention may be needed.…”

Section: Diagnosismentioning

confidence: 99%

“…Together, both rigid and flexible bronchoscopy provide the best global assessment of the airway. 22 Bronchoscopy can also help predict the likeliness that surgical intervention may be needed. In a more recent study, Okata et al 23 described a semiquantitative index for bronchoscopic assessment of tracheomalacia called the "oblateness index".…”

Section: Acquired or Secondary Tracheomalaciamentioning

confidence: 99%

Pediatric tracheomalacia and the perioperative anesthetic management of thoracoscopic posterior tracheopexy

Masaracchia

Polaner

Prager

et al. 2018

Pediatric Anesthesia

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Tracheomalacia is a broad term used to describe an abnormally compliant trachea that can lead to exaggerated collapse and obstruction with expiration. We describe the perioperative management of a complex pediatric patient undergoing a posterior tracheopexy which is a relatively new surgical treatment, with a novel surgical approach-thoracoscopy. This procedure has competing surgical and anesthetic needs and presents unique challenges to the physicians involved in caring for these patients. We also review the current literature on pediatric tracheomalacia and examine the newest treatment options to highlight the potential anesthetic challenges and pitfalls associated with management.

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The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients

van Hal,

Aanen,

Wijnen

et al. 2024

Journal of Pediatric Surgery

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Bronchoscopy as a screening tool for symptomatic tracheomalacia in oesophageal atresia

Cited by 10 publications

References 9 publications

Bronchopulmonary and vascular anomalies are frequent in children with oesophageal atresia

Bronchopulmonary and vascular anomalies are frequent in children with oesophageal atresia

Pediatric tracheomalacia and the perioperative anesthetic management of thoracoscopic posterior tracheopexy

The Value of Preoperative Rigid Tracheobronchoscopy for the Diagnosis of Tracheomalacia in Oesophageal Atresia Patients

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