RESUMEN
Stridor, when present since birth, should alert the physician of the possibility of a major cause of airway obstruction. In some cases, it can be life-threatening if timely and adequate intervention is not performed. In this report we discuss an infant who presented with stridor since birth. It's clinical picture, diagnostic approach and management are reviewed. The use of fiberoptic bronchoscopy as the most important diagnostic tool in the evaluation of stridor is emphasized and prompt referral for proper evaluation is recommended.
Asunto(s)
Laringoestenosis/congénito , Ruidos Respiratorios/etiología , Anomalías Múltiples , Aorta Torácica/anomalías , Broncoscopía , Arterias Carótidas/anomalías , Cartílago Cricoides/cirugía , Cianosis/etiología , Femenino , Humanos , Recién Nacido , Laringoestenosis/complicaciones , Laringoestenosis/diagnóstico , Laringoestenosis/cirugía , Arteria Subclavia/anomalías , TraqueostomíaRESUMEN
Described are the findings resulting from 324 bronchoscopies performed with the flexible bronchoscope during the past 8 years at the University of Puerto Rico Pediatric Hospital. Neonates, infants, children and adolescents were included. The most frequent indications for the procedure were stridor, recurrent or persistent pneumonia, atelectasis, recurrent croup and persistent wheezing. An abnormality was detected in 88 per cent of the patients and the finding often resulted in significant modifications of treatment or allowed for reassurance. Complications were minor and there was no mortality. We conclude that the procedure, as we describe it, is save, effective and useful.
