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Wiley, Pediatric Pulmonology, 9(53), p. 1284-1287

DOI: 10.1002/ppul.24117

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CPAP to diagnose laryngeal clefts by flexible endoscopy in infants

Journal article published in 2018 by Daniel Trachsel ORCID, Jürg Hammer ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

AbstractBackgroundLaryngeal clefts (LC) are uncommon but important causes of stridor in infants. Direct laryngoscopy is the recommended method for the detection of LC because LC may be missed by flexible endoscopy. As laryngomalacia by far outnumbers any other cause of stridor in this age group flexible bronchoscopy is usually the preferred method for the evaluation of significant infantile stridor. The aim is to illustrate how the application of CPAP assists the detection of LC during flexible endoscopy.MethodContinuous positive airway pressure (CPAP) is applied via endoscopy mask during flexible endoscopy, titrated to open the upper esophageal sphincter, and to spread the inter‐arytenoid folds.ResultsThe application of CPAP of 10‐15 cmH2O resulted in visual unmasking of otherwise obscured LC in four young children assessed for congenital stridor.ConclusionCPAP helps visualize LC by flexible endoscopy obviating transition to direct laryngoscopy and manual exploration.