Utility of bronchoscopy for recurrent croup. Ann Otol Rhinol Laryngol 2009 Jul;118(7):495-9
Date
08/28/2009Pubmed ID
19708488DOI
10.1177/000348940911800707Scopus ID
2-s2.0-68049099141 (requires institutional sign-in at Scopus site) 24 CitationsAbstract
OBJECTIVES: We performed a retrospective review to determine the utility of bronchoscopy in patients with recurrent croup (RC).
METHODS: Bronchoscopy was performed on 30 patients with a diagnosis of RC (age, 14 months to 13.9 years) over a 2-year period.
RESULTS: One third of the patients (33.3%) were found to have airway disorders, including subglottic stenosis (7), subglottic edema (2), and a subglottic cyst (1). Patients with RC who were less than 3 years of age were more likely to have an airway abnormality found on endoscopy (9 of 14 or 64.2%) than were those older than 3 years (1 of 16 or 6.2%; chi2 p < 0.001). There was no statistically significant difference in abnormal findings 1) in patients with RC who had a history of prematurity or prior intubations (chi2, p = 0.17 and p = 0.052, respectively); 2) between infectious and spasmodic croup (chi2, p = 0.794); or 3) by number of croup episodes (chi2, p = 0.300). Two patients required surgical intervention (laryngotracheal reconstruction and marsupialization of a subglottic cyst).
CONCLUSIONS: Of 30 patients who underwent bronchoscopy for RC, 33% had airway disorders--mostly children less than 3 years old. We suggest a higher index of suspicion for finding airway disorders in children less than 3 years old with RC and having a lower threshold for performing diagnostic bronchoscopy in this population.
Author List
Chun R, Preciado DA, Zalzal GH, Shah RKAuthor
Robert H. Chun MD Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAge Factors
Bronchoscopy
Child
Child, Preschool
Cohort Studies
Croup
Female
Humans
Infant
Male
Predictive Value of Tests
Recurrence
Retrospective Studies
Risk Factors
