International journal of pediatric otorhinolaryngology · 2025
Diagnosing tracheostomy allergy: Improving airway outcomes in pediatric patients with an active larynx.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kloosterman Nicole, de Alarcon Alessandro, Schauberger Eric, Wilcox Lyndy J
Аннотация
INTRODUCTION: Children with an active larynx have a decreased success rate of airway reconstruction and, therefore, require evaluation and management of laryngeal inflammation and associated factors prior to undertaking reconstructive surgery and decannulation. Allergy to the tracheostomy tube is an additional potential cause of active larynx.
STUDY DESIGN: Retrospective case series.
METHODS: Patients ages 0-18 years with a tracheostomy who were previously diagnosed with active larynx or peristomal inflammation and underwent patch testing to tracheostomy components at a single quaternary academic children's hospital from January 1, 2014 to May 1, 2018 were identified. Pre-testing, testing, and post-testing results and clinical courses were documented.
RESULTS: Eight patients who met criteria and underwent patch testing for tracheostomy components were identified. Four (50 %) of the patients had positive allergy tests - three for metal components and one to silicone. These four patients subsequently underwent tracheostomy changes. All four patients had improvement in active larynx with proceeding with successful airway reconstruction and/or decannulation.
CONCLUSIONS: Tracheostomy allergy should be considered in children with idiopathic active larynx or peristomal inflammation that is not responding to typical measures. Allergy testing is low-risk and a relatively simple intervention which has the potential to demonstrate an intervenable cause of inflammation. Airway inflammation is often multifactorial and future studies require additional investigation regarding the pathophysiology and improvement of the management of the active larynx.
STUDY DESIGN: Retrospective case series.
METHODS: Patients ages 0-18 years with a tracheostomy who were previously diagnosed with active larynx or peristomal inflammation and underwent patch testing to tracheostomy components at a single quaternary academic children's hospital from January 1, 2014 to May 1, 2018 were identified. Pre-testing, testing, and post-testing results and clinical courses were documented.
RESULTS: Eight patients who met criteria and underwent patch testing for tracheostomy components were identified. Four (50 %) of the patients had positive allergy tests - three for metal components and one to silicone. These four patients subsequently underwent tracheostomy changes. All four patients had improvement in active larynx with proceeding with successful airway reconstruction and/or decannulation.
CONCLUSIONS: Tracheostomy allergy should be considered in children with idiopathic active larynx or peristomal inflammation that is not responding to typical measures. Allergy testing is low-risk and a relatively simple intervention which has the potential to demonstrate an intervenable cause of inflammation. Airway inflammation is often multifactorial and future studies require additional investigation regarding the pathophysiology and improvement of the management of the active larynx.