Developmental changes of upper airway ...
Document type :
Article dans une revue scientifique: Article original
DOI :
PMID :
Permalink :
Title :
Developmental changes of upper airway dimensions in children.
Author(s) :
Luscan, Romain [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Leboulanger, Nicolas [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Fayoux, Pierre [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Kerner, Gaspard [Auteur]
Imagine - Institut des maladies génétiques [IMAGINE - U1163]
Belhous, Kahina [Auteur]
Service de radiologie [CHU Necker]
Couloigner, Vincent [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Garabedian, Erea-Noël [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Simon, François [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Denoyelle, Françoise [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Thierry, Briac [Auteur]
Immunologie humaine, physiopathologie & immunothérapie [HIPI (UMR_S_976 / U976)]
Hôpital Necker - Enfants Malades [AP-HP]
Leboulanger, Nicolas [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Fayoux, Pierre [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Kerner, Gaspard [Auteur]
Imagine - Institut des maladies génétiques [IMAGINE - U1163]
Belhous, Kahina [Auteur]
Service de radiologie [CHU Necker]
Couloigner, Vincent [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Garabedian, Erea-Noël [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Simon, François [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Denoyelle, Françoise [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Thierry, Briac [Auteur]
Immunologie humaine, physiopathologie & immunothérapie [HIPI (UMR_S_976 / U976)]
Journal title :
Pediatric Anesthesia
Abbreviated title :
Paediatr Anaesth
Volume number :
30
Pages :
435-445
Publication date :
2020-02-01
ISSN :
1460-9592
English keyword(s) :
age
dimensions
endotracheal tube
pediatric airway
weight
dimensions
endotracheal tube
pediatric airway
weight
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Background
Knowledge about airway dimensions during child growth is of paramount importance for pediatric clinical practice. Decisions about airway management in children are based on relatively limited, imprecise, or ...
Show more >Background Knowledge about airway dimensions during child growth is of paramount importance for pediatric clinical practice. Decisions about airway management in children are based on relatively limited, imprecise, or incomplete data about airway size. Aims The aim of this work was to determine the anatomical development and size of airway structures from birth to adolescence using high-resolution computed tomography scans and to study the correlation between airway measurements and biometric data. Methods We conducted a retrospective study of all high-resolution computed tomography scans including the respiratory tract, performed in our tertiary pediatric center (for reasons unrelated to airway symptoms) between June 1, 2016, and October 15, 2017, on children aged from 1 day to 14 years old. On each scan, 23 measurements of the larynx, trachea, and mainstem bronchi were performed. Patients were stratified into 16 groups according to their age. We calculated median value for each measurement in each group. Statistical models were calculated to explore correlation between measurements and age or weight. Results A total of 192 scans were included (127 boys/65 girls). The mean age was 7 years. The correlations between airway measurements and age or weight were always significant. The relationship between measurements and age was found to be suitably represented by a cubic polynomial equation suggesting that the airway has a rapid growth phase in the first 3 years, followed by a slow growth phase and a second rapid growth phase during adolescence. The most relevant biometric parameter was age concerning 21 of the measurements. Conclusion This comprehensive anatomical database of upper airway dimensions provides important data in the field of pediatric airway anatomy, particularly relating to the cricoid. We demonstrated that laryngeal, tracheal, and bronchial parameters correlate better to age and have three different growth phases.Show less >
Show more >Background Knowledge about airway dimensions during child growth is of paramount importance for pediatric clinical practice. Decisions about airway management in children are based on relatively limited, imprecise, or incomplete data about airway size. Aims The aim of this work was to determine the anatomical development and size of airway structures from birth to adolescence using high-resolution computed tomography scans and to study the correlation between airway measurements and biometric data. Methods We conducted a retrospective study of all high-resolution computed tomography scans including the respiratory tract, performed in our tertiary pediatric center (for reasons unrelated to airway symptoms) between June 1, 2016, and October 15, 2017, on children aged from 1 day to 14 years old. On each scan, 23 measurements of the larynx, trachea, and mainstem bronchi were performed. Patients were stratified into 16 groups according to their age. We calculated median value for each measurement in each group. Statistical models were calculated to explore correlation between measurements and age or weight. Results A total of 192 scans were included (127 boys/65 girls). The mean age was 7 years. The correlations between airway measurements and age or weight were always significant. The relationship between measurements and age was found to be suitably represented by a cubic polynomial equation suggesting that the airway has a rapid growth phase in the first 3 years, followed by a slow growth phase and a second rapid growth phase during adolescence. The most relevant biometric parameter was age concerning 21 of the measurements. Conclusion This comprehensive anatomical database of upper airway dimensions provides important data in the field of pediatric airway anatomy, particularly relating to the cricoid. We demonstrated that laryngeal, tracheal, and bronchial parameters correlate better to age and have three different growth phases.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T09:29:08Z
2024-01-09T15:36:18Z
2024-01-09T15:36:18Z