声门下狭窄：皮埃尔·罗宾序列征中插管的另一挑战及气道阻塞的潜在机制。
Subglottic stenosis: another challenge for intubation and potential mechanism of airway obstruction in Pierre Robin Sequence.
作者信息
Knapp Kolin, Powitzky Rosser, Digoy Paul
机构信息
Oklahoma University Health Science Center, Oklahoma City, OK 73126-0901, United States.
出版信息
Int J Pediatr Otorhinolaryngol. 2011 Sep;75(9):1075-7. doi: 10.1016/j.ijporl.2011.05.012. Epub 2011 Jul 13.
OBJECTIVE
To determine the endotracheal tube (ETT) size and presence of subglottic narrowing in children less than 1 year old with Pierre Robin Sequence (PRS).
MATERIALS AND METHODS
We performed a retrospective review from 2005 to 2009 of infants with PRS who underwent diagnostic laryngoscopy (DL) and intubation.
RESULTS
Fifteen children with a median age of 25 days were reviewed. All patients, except one, were born full term. Subglottic narrowing was visualized in 5 patients (33%). 73% of all patients required an ETT size smaller than what is recommended by intubation guidelines in the literature in regards to normative data based on age and weight.
CONCLUSION
Infants with PRS may have a higher incidence of subglottic stenosis and require a smaller ETT compared to the normal population. This pilot study warrants a larger prospective investigation to validate these findings.
目的
确定患有皮埃尔·罗宾序列征（PRS）的1岁以下儿童的气管插管（ETT）尺寸以及声门下狭窄情况。
材料与方法
我们对2005年至2009年间接受诊断性喉镜检查（DL）和插管的PRS婴儿进行了回顾性研究。
结果
回顾了15名中位年龄为25天的儿童。除1名患者外，所有患者均为足月出生。5名患者（33%）可见声门下狭窄。所有患者中有73%所需的ETT尺寸小于文献中基于年龄和体重的插管指南所推荐的尺寸。
结论
与正常人群相比，患有PRS的婴儿声门下狭窄的发生率可能更高，且需要更小尺寸的ETT。这项初步研究值得进行更大规模的前瞻性调查以验证这些发现。
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