Laryngovideostroboscopy in children—Diagnostic possibilities and constraints

Mackiewicz‐Nartowicz, Hanna; Sinkiewicz, Anna; Bielecka, Arleta

doi:10.1016/j.ijporl.2011.05.006

Cited by 25 publications

(11 citation statements)

References 8 publications

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“…Vocal nodules are the major diagnosed lesion in dysphonic children and result from the abrupt and continuous collision of the vocal folds during phonation. 6,7 The trauma extends to capillaries of the vocal fold mucosa, which causes variations in the dynamic of the fluid of lamina propria and edema, triggering the process of nodule formation. Histological analyses of vocal nodules have shown proliferation of epithelial layers, basement membrane thickening, and abundant fibronectin in the lamina propria.…”

Section: Introductionmentioning

confidence: 99%

Dysphonia in Children

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Dysphonia in Children

et al. 2012

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“…Mackiewicz-Nartowicz et al [9] discussed the use of laryngovideostroboscopy (LVS) with a rigid endoscope in a cohort of 150 children between the ages of 2.5 and 14 years. The LVS examination could be performed in all but one child included in the study.…”

Section: Laryngeal Imagingmentioning

confidence: 99%

Update on pediatric voice and airway disorders

Kelchner

Brehm

Alarcón

et al. 2012

Current Opinion in Otolaryngology & Head and Neck Surgery

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“…Rigid laryngoscopy causes less discomfort and crying but does require patient cooperation; thus, it is used primarily in adults. Previous groups have shown that transoral rigid laryngoscopy can be performed in children with a mean age of approximately 10 to 12 years . This project describes our experience using rigid laryngoscopy in a young pediatric cohort.…”

Section: Introductionmentioning

confidence: 99%

Transoral rigid 70‐degree laryngoscopy in a pediatric voice clinic

et al. 2018

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Objective: Complaints of dysphonia and dysphagia frequently require rigid or flexible laryngoscopy in the office to aid in diagnosis. For young children, flexible laryngoscopy can be uncomfortable and often requires multiple adults to restrain the child. Rigid laryngoscopy does not result in crying but does require patient cooperation; thus, it is used primarily in adults. This project describes our experience using rigid laryngoscopy in a pediatric cohort.Methods: This was a retrospective chart review of patients at a pediatric voice clinic who underwent laryngoscopy from December 2011 through March 2017. Data analysis is via Student t test and descriptive analysis.Results: Three hundred and eleven patients were identified with 423 unique laryngoscopy exams. Of those, 212 of the exams were flexible and 210 were rigid. One patient did not tolerate either rigid or flexible exam. There was a statistically significant difference in age between children diagnosed via rigid mean 10.92 years (range 2.39-19.14 years) versus flexible mean 6.51 years (range 0.41-19.29 years), P ≤ 0.01. Of the 44 children under 3 years of age, flexible laryngoscopy was used almost exclusively, with 43 of 44 (97.7%) flexible scope exams. Rigid laryngoscopy was performed on 24 of 115 (20.9%) children aged 3 to 5 years, 26 of 40 (65%) aged 6 years, and 159 of 223 (71.3%) aged 7 and older.Conclusion: Transoral 70 o rigid laryngoscopy can be used in select children as young as 3 years of age. This modality allows for improved visualization of lesions with greater comfort for patients.

show abstract

Laryngovideostroboscopy in children—Diagnostic possibilities and constraints

Cited by 25 publications

References 8 publications

Dysphonia in Children

Dysphonia in Children

Update on pediatric voice and airway disorders

Transoral rigid 70‐degree laryngoscopy in a pediatric voice clinic

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