Chronic airway obstruction in children: evaluation with cine-CT

Edward E Frey; Wilbur L Smith; Steve Grandgeorge; Paul McCray; Jeff Wagener; Edmund A Franken Jr; Yutaka Sato

doi:10.2214/ajr.148.2.347

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Chronic airway obstruction in children: evaluation with cine-CT

Journal article

Peer reviewed

Chronic airway obstruction in children: evaluation with cine-CT

Edward E Frey, Wilbur L Smith, Steve Grandgeorge, Paul McCray, Jeff Wagener, Edmund A Franken Jr and Yutaka Sato

American journal of roentgenology (1976), Vol.148(2), pp.347-352

1987

DOI: 10.2214/ajr.148.2.347

PMID: 3492113

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Abstract

The radiographic diagnosis of airway lesions, especially laryngomalacia and tracheomalacia, often is imprecise. Endoscopy, which allows detailed examination of the upper airway, is an invasive procedure requiring sedation or anesthesia. A prospective study was undertaken to show the value of cine-CT (Imatron) scanning in diagnosing airway lesions in children. Eleven patients, aged 10 days to 4 years old, with a history of stridor were evaluated by both cine-CT and flexible fiberoptic endoscopy. Cine-CT studies of 12 children imaged for other reasons and without clinical evidence of airway disease served as controls to assess normal airway motion. Endoscopy identified 13 abnormalities, 11 of which were identified by cine-CT. Cine-CT has the capacity to image common causes of chronic stridor in children. It is rapid, noninvasive, and requires no sedation in most children. Although additional work is needed to clarify the role of cine-CT, this study suggests that cine-CT is a sensitive and specific imaging technique for evaluation of chronic stridor in infants and children.

Biological and medical sciences

Medical sciences

Otorhinolaryngology. Stomatology

Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology

Details

Title: Subtitle: Chronic airway obstruction in children: evaluation with cine-CT
Creators: Edward E Frey - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Wilbur L Smith - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Steve Grandgeorge - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Paul McCray - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Jeff Wagener - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Edmund A Franken Jr - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Yutaka Sato - Univ. Iowa hosp. clin., dep. radiology, Iowa City IA 52242, United States
Resource Type: Journal article
Publication Details: American journal of roentgenology (1976), Vol.148(2), pp.347-352
Publisher: American Roentgen Ray Society; Leesburg, VA
DOI: 10.2214/ajr.148.2.347
PMID: 3492113
ISSN: 0361-803X
eISSN: 1546-3141
Language: English
Date published: 1987
Academic Unit: Radiology; Microbiology and Immunology; Pulmonary Medicine; Stead Family Department of Pediatrics; Internal Medicine
Record Identifier: 9984051790102771

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