|Grażyna Niedzielska, Izabela Szlązak, Leszek Grzywna, Ewa Zinkiewicz|
Introduction. Breathing disorders and dysphonia in children are frequent but not easy to diagnose. Transnasal endofiberoscopy seems to be an optimum method in such cases.
Aim. The aim of this study was to determine causes of impaired patency of the upper respiratory tract and dysphonia in children from the results of endofiberoscopic examination.
Material and methods. The study involved examination of 1473 patients aged from 1 month to 18 years, performed at the Clinical Ambulatory of Pediatric Hospital Clinic during one calendar year. Nasopharynx and larynx were examined by fiberoscopy performed using a GP 2.8 and 3.2 mm dia. Olympus ENF XION EF-N SLIM nasopharyngoscope.
Results. No significant pathology connected with breathing disorders was detected in 1/3 of the patients, whereas in the remaining 2/3 of the cases the cause of this problem was adenoid hypertrophy requiring surgical treatment. Among the patients with laryngeal abnormalities, vocal nodules, often in coexistence with gastroesophageal reflux, were the most common cause of dyaphonia. Larynx flaccidity was the second most frequent disease.
Conclusions. Endofiberoscpy, which is a non-invasive and objective method, should be extensively used to diagnose and monitor treatment of nasal and laryngeal abnormalities in children.
keywords: endofiberoskopia, przerost migdałka gardłowego, duszność, refluks krtaniowo-gardłowy, guzki głosowe, fiberendoscopy, adenoid hypertrophy, dyspnoea, laryngopharyngeal reflux, vocal nodules, dysphonia
pages: from 76 to 80
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