Synchronous Airway Lesions and Esophagitis in Young Patients Undergoing Adenoidectomy

Synchronous airway lesions in children with obstructive sleep apnea

“…Bliss et al observed that concurrent MLB with drug-induced sleep endoscopy (DISE) provided additional positive findings in patients with history of intubation, prematurity, or genetic/neurologic comorbidities. The age-dependent patterns observed in our study also align with findings from Mandell and Yellon [ 13 ], Dritsoula et al [ 15 ], and Argyriou et al [ 21 ] who reported high rates of airway abnormalities in young children (59%–77%) but found that these lesions seldom affected treatment outcomes or the need for intervention. Collectively, these studies and our observations indicate that the high prevalence of secondary airway findings represent incidental findings without clear pathophysiologic relevance rather than clinically significant OSA risk.…”

Evaluation of the role of microlaryngotracheobronchoscopy (MLTB) with adenotonsillectomy in 158 children with sleep‐disordered breathing

“…Rastatter et al reported that 67% of children less than three years old had airway findings 1 . Mandell and Yellon reported 55% prevalence of airway lesions 9 and Mitchelson et al identified synchronous airway findings in 53% of the patients 5 . In our study 121 out of 158 (77%) patients had at least one airway finding.…”

Response to “Re: Need for Bronchoscopy in Adenotonsillectomy,” from Rahul K. Shah and Diego A. Preciado

“…Direct laryngoscopy and bronchoscopy (DLB) was performed at the time of the adenoidectomy ± tonsillectomy (A±T). Similar studies have addressed this topic in children even younger (<18 months old) 1 …”