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Nontraumatic neck and airway emergencies in children

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Abstract

Acute airway obstruction in infants and children may be caused by congenital or developmental disorders, infection, inflammation, foreign body aspiration or ingestion, mass lesions, vascular abnormalities, and tracheomalacia. Airway disorders in children result in more severe symptomatology than in adults because of the smaller size and greater pliability of the pediatric airway. Clinical signs and symptoms are useful in localizing the anatomic site of abnormality. Diagnostic imaging, including radiography, fluoroscopy, sonography, computed tomography, and magnetic resonance imaging, plays an important role in the evaluation of pediatric airway disorders. This essay reviews the imaging approach to the various disorders resulting in acute airway obstruction in children.

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References

  1. Swischuk LE, Smith PC, Fagan CJ. Abnormalities of the pharynx and larynx in childhood. Semin Roentgenol 1974;9:283–300.

    Article  CAS  PubMed  Google Scholar 

  2. Maniglia AJ, Goodwin WJ Jr. Congenital choanal atresia. Otol Clin North Am 1981;14:167–73

    CAS  Google Scholar 

  3. Cohen SR, Landing BH. Tracheostenosis and bronchial abnormalities associated with pulmonary artery sling. Ann Otol Rhinol Laryngol 1976;85:582–90.

    CAS  PubMed  Google Scholar 

  4. Berdon WE, Baker DH, Wing JT, et al. Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology 1984;152:57–64.

    CAS  PubMed  Google Scholar 

  5. Jones RA, Spevak PJ, McGill T, et al. Pulmonary artery sling: primary repair by tracheal resection in infancy. J Thorac Cardiovasc Surg 1989;97:444–7.

    Google Scholar 

  6. Griscom NT. Computed tomographic determination of tracheal dimensions in childhood and adolescents. Radiology 1982;145:361–4.

    CAS  PubMed  Google Scholar 

  7. Griscom NT. CT measurement of the tracheal lumen in children and adolescents. AJR Am J Roentgenol 1991;156:371–2.

    CAS  PubMed  Google Scholar 

  8. McCook TA, Felman AJ. Retropharyngeal masses in infants and young children. Am J Dis Child 1979;133:41–3.

    CAS  PubMed  Google Scholar 

  9. Glasier CM, Stark JE, Jacobs RF, et al. CT and ultrasound imaging of retropharyngeal abscesses in children. AJNR Am J Neuroradiol 1992;13:1191–5.

    CAS  PubMed  Google Scholar 

  10. Sato Y, Dunbar JS. Abnormalities of the pharynx and prevertebral soft tissues in infectious mononucleosis. AJR Am J Roentgenol 1980;139:149–52.

    Google Scholar 

  11. McCook TA, Kirks DR. Epiglottic enlargement in infants and children: another radiologic look. Pediatr Radiol 1982;12:227–34.

    Article  CAS  PubMed  Google Scholar 

  12. Schunk JE, Harrison AM, Corneli HM, et al. Fluoroscopic Foley catheter removal of esophageal foreign bodies in children: experience with 415 episodes. Pediatrics 1994;94:709–14.

    CAS  PubMed  Google Scholar 

  13. Kirks DR. Fluoroscopic catheter removal of blunt esophageal foreign bodies: a pediatric radiologist’s perspective. Pediatr Radiol 1992;22:64–5.

    Article  CAS  PubMed  Google Scholar 

  14. Yuh WT, Buehner LS, Kao SC, et al. Magnetic resonance imaging of pediatric head and neck cystic hygromas. Ann Otol Rhinol Laryngol 1991;100:737–42.

    CAS  PubMed  Google Scholar 

  15. Yulish BS, Morrison SC. Radiological evaluation of emergencies of the respiratory tract in infants and children. In: Nussbaum E, editor. Pediatric intensive care. Mt Kisco, NY: Future Publishing, 1989;271–309.

    Google Scholar 

  16. Bisset GS, Strife JL, Kirks DR, et al. Vascular rings: magnetic resonance imaging. AJR Am J Roentgenol 1987;149:251–6.

    PubMed  Google Scholar 

Download references

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Phillips, P.M., Sivit, C.J. Nontraumatic neck and airway emergencies in children. Emergency Radiology 5, 153–161 (1998). https://doi.org/10.1007/BF02749101

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