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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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The evaluation of Pediatric upper airways in spontaneous breathing

Meeting Abstract

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  • corresponding author Balazs Sztanó - ENT Dept., University of Szeged, Hungary
  • Valeria Majoros - University of Szeged, Department of Anaesthesiology and Intensive Therapy, Szeged, Hungary
  • Marek Brzózka - University of Szeged, Department of Anaesthesiology and Intensive Therapy, Szeged, Hungary
  • László Rovó - ENT Dept., University of Szeged, Hungary

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod105

doi: 10.3205/10hnod105, urn:nbn:de:0183-10hnod1057

Published: April 22, 2010

© 2010 Sztanó et al.
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Outline

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Nowadays it is still a great challenge to establish the proper diagnosis of upper airway stenosis in early childhood. The endoscopic techniques performed in local anaesthesia play only a little role at this age. The most accepted methods are laryngomicroscopy and bronchoscopy performed in general anaethesia or JET-ventilation. These methods require special instruments available only in ENT centers. The evaluation of the pediatric airway may be really hard because the intubation tube and the relaxation worse the visuality, the functional laryngeal movement problems could not be seen. In our clinic laryngo-bronchoscopy in spontaneous breathing (local anesthesia [Tetracain-Ephedrin] and TIVA [Propofol, Remifentanyl]) is routinely used in adults. The aim of this lecture is to introduce our technique and results applied in early childhood.