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Int J Pediatr Otorhinolaryngol. 2017 Nov;102:39-43. doi: 10.1016/j.ijporl.2017.07.044. Epub 2017 Jul 31.

Evaluation of tracheobronchial branching abnormalities in patients with microtia using chest computed tomography.

Author information

1
Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Badachu Road No. 33, Beijing, People's Republic of China.
2
Department of ENT, China-Japan Friendship Hospital, Cherry Park Street No. 2, Beijing, People's Republic of China.
3
Department of Auricular Reconstruction, Plastic Surgery Hospital, Peking Union Medical College, Badachu Road No. 33, Beijing, People's Republic of China. Electronic address: 15098733987@126.com.

Abstract

BACKGROUND:

The objective of this study was to identify the characteristics and incidence of Tracheobronchial branching abnormalities in patients with microtia and to evaluate the risk of anesthesia.

METHODS:

A total of 204 consecutive microtia patients and 465 nose cosmetic patients without microtia received a preoperative chest computed tomography. A retrospective study was performed with the clinical and imaging data from July 2016 to April 2017.

RESULTS:

With the chest computed tomography images, a total of 7 cases were documented with Tracheobronchial branching abnormalities, including 6 cases among the microtia patients and 1 case among the cosmetic patients without microtia. The incidence of Tracheobronchial branching abnormalities was higher in microtia patients than the cosmetic patients without microtia (2.94% versus 0.22%, P < 0.01).

CONCLUSIONS:

The incidence of Tracheobronchial branching abnormalities was high in patients with microtia. Preoperative diagnosis of tracheal bronchus can help anesthesiologists avoid complications. Microtia with Tracheobronchial branching abnormalities may involve a new syndrome previously undiscovered or just another extension with the very wide spectrum of microtia.

KEYWORDS:

Computed tomography; Intubation complications; Malformation spectrums; Microtia; Tracheobronchial branching abnormalities

PMID:
29106873
DOI:
10.1016/j.ijporl.2017.07.044
[Indexed for MEDLINE]

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