The Usefulness of Lateral Neck Roentgenograms in Laryngotracheobronchitis

Infraglottic and Bronchial Infections

“…If performed, lateral neck roentgenograms have been shown to have a high sensitivity (93%) and specificity (92%) for laryngotracheobronchitis when adequate studies are interpreted by experienced radiologists. 125 There was no correlation between radiologic findings and clinical outcomes, however, although "uninterpretable" films (13%) were associated with increased clinical…”

Experience of pulse oximetry in children with croup

“…Assessment of the severity of croup is essentially still by taking a history and clinical examination. Any manoeuvres which disturb the child, such as lateral neck X-rays (Mills et al, 1979), venepuncture and examination or other procedures on the throat should be avoided as they may precipitate acute obstruction; this is still accepted practice in spite of a recent report that direct inspection of the epiglottis can be performed safely (Mauro etal., 1988).…”

How Much Drool Is Too Much?

“…A neck radiograph will show the traditional narrowing of the trachea known as a steeple sign. 3 However, a radiograph is not routinely performed for diagnosis because croup is usually a clinical diagnosis. Although the patient had coronavirus and concern for croup, this did not explain his ptosis and other neurologic findings.…”