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13 - Surgical management of airway obstruction

from Part III - Thorax

Published online by Cambridge University Press:  08 January 2010

By
Dana Mara Thompson  and
Robin T. Cotton
Edited by
Mark D. Stringer ,
Keith T. Oldham  and
Pierre D. E. Mouriquand
Dana Mara Thompson
Affiliation:
Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA
Robin T. Cotton
Affiliation:
Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA
Mark D. Stringer
Affiliation:
University of Otago, New Zealand
Keith T. Oldham
Affiliation:
Children's Hospital of Wisconsin
Pierre D. E. Mouriquand
Affiliation:
Debrousse Hospital, Lyon
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Summary

Surgical management of obstructive diseases of the pediatric airway is challenging and rewarding. These diseases may present with acute, life-threatening airway obstruction and warrant quick relief of obstruction often accomplished by endotracheal intubation or tracheotomy. The etiology of obstructive airway disease is often multifactorial, and includes anatomic, congenital, and inflammatory problems. Regardless of the cause and mode of presentation, diagnosis and successful surgical management requires a high index of suspicion and clinical experience to establish the correct diagnosis and formulate a surgical solution. To achieve good surgical outcomes, meticulous attention to detail, recognition and treatment of other medical comorbidities that affect healing, and complete dedication of the surgeon's time and resources are required. These resources include many other pediatric specialists and other allied health care individuals. The priority of intervention is to establish and maintain a safe and stable airway. One must also recognize that diseases causing airway obstruction and the surgical interventions to correct these problems may compromise voice, speech, and swallowing. The impact of these diseases and their surgical interventions may have tremendous socialization implications for children at a critical phase of growth and development. Because of the potential impact and devastating outcomes these diseases and interventions may have on medical and psychosocial development of children, we are obliged to examine our interventions to assume the best possible outcomes for airway, voice, swallowing, and socialization. The number of children who require surgical intervention for airway obstruction has increased.

Type
Chapter
Information
Pediatric Surgery and Urology
Long-Term Outcomes
 , pp. 158 - 183
Publisher: Cambridge University Press
Print publication year: 2006

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  • Surgical management of airway obstruction
    • By Dana Mara Thompson, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA, Robin T. Cotton, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA
  • Edited by Mark D. Stringer, Keith T. Oldham, Pierre D. E. Mouriquand
  • Book: Pediatric Surgery and Urology
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545757.014
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  • Surgical management of airway obstruction
    • By Dana Mara Thompson, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA, Robin T. Cotton, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA
  • Edited by Mark D. Stringer, Keith T. Oldham, Pierre D. E. Mouriquand
  • Book: Pediatric Surgery and Urology
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545757.014
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Surgical management of airway obstruction
    • By Dana Mara Thompson, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA, Robin T. Cotton, Department of Pediatric Otolaryngology and the Aerodigestive and Sleep Center, Cincinnati Children's Hospital Medical Center and The University of Cincinnati College of Medicine, OH, USA
  • Edited by Mark D. Stringer, Keith T. Oldham, Pierre D. E. Mouriquand
  • Book: Pediatric Surgery and Urology
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511545757.014
Available formats
×