Rare Causes of Stridor: Not All Stridors are Croups/Stridorun Nadir Nedenleri; Tum Stridorlar Krup Degildir
Stridor is a considerable finding, which arises from congenital or acquired causes, that might have a good prognosis or might be a life-threatening cause, and hence requires rapid assessment and intervention. Stridor is mostly considered as croup in pediatric emergency units. A multidisciplinary app...
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Veröffentlicht in: | Izmir Dr. Behçet Uz Çocuk Hastanesi dergisi 2022-04, Vol.12 (1), p.101 |
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Sprache: | eng |
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Zusammenfassung: | Stridor is a considerable finding, which arises from congenital or acquired causes, that might have a good prognosis or might be a life-threatening cause, and hence requires rapid assessment and intervention. Stridor is mostly considered as croup in pediatric emergency units. A multidisciplinary approach might be required for an accurate diagnosis. The patient's age, time and severity of initial symptoms, response to treatment, and coexistent findings assist in differential diagnosis. Detecting the underlying cause may be difficult and time consuming. In this study, we intended to present cases that we assessed regarding the etiological reasons presented with chronic stridor and to present remarkable characteristics of them in diagnosis and differential diagnosis, by considering the literature. Patients diagnosed with subglottic stenosis, subglottic hemangioma, laryngomalacia and laryngeal web were presented with distinctive history and clinical findings. Patients with intermittent respiratory problems coexisting with stridor can be diagnosed typically through an adequate medical history, a well-enough physical examination, and radiological methods. Flexible endoscopy provides a safe and complete examination of the children's airway. Keywords: Stridor, dyspnea, infant, hemangioma, subglottic stenosis Stridor, dogustan veya edinsel nedenlerden kaynaklanan, iyi bir prognoza sahip veya yasami tehdit edebilen, bu nedenle hizli degerlendirme ve mudahale gerektiren onemli bir klinik bulgudur. Stridor, pediatrik acil servislerinde cogunlukla krup, larenjit veya astim olarak degerlendirilir. Dogru bir teshis icin multidisipliner bir yaklasim gerekebilir. Hastanin yasi, baslangic semptomlarinin zamani ve siddeti, tedaviye yaniti ve birlikte bulunan bulgular ayirici taniya yardimci olur. Altta yatan nedeni tespit etmek zor ve zaman alici olabilir. Bu calismada, kronik stridor ile ortaya cikan etiyolojik nedenler acisindan degerlendirdigimiz olgulari literatur esliginde sunmayi ve tani ve ayirici tanida dikkat cekici ozelliklerini sunmayi amacladik. Subglottik darlik, subglottik hemanjiyom, laringomalazi ve laringeal web tanisi alan hastalar, ayirt edici oyku ve klinik bulgular ile sunuldu. Stridor ile birlikte gorulen aralikli solunum problemleri olan hastalar tipik olarak ayrintili tibbi oyku, dikkatli fizik muayene ve radyolojik yontemlerle teshis edilebilir. Fleksible endoskopi, cocuklarin hava yolunun guvenli ve eksiksiz bir sekilde incelenmesini saglar. Anahtar |
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ISSN: | 2146-2372 |
DOI: | 10.4274/buchd.galenos.2021.87160 |