2017 Sec 1 Green Book

ABLE OF

ONTENTS

Selected Recent Materials - Reproduced in this Study Guide

SECTION 1: CONGENITAL AND PEDIATRIC PROBLEMS

SEPTEMBER 2017

ADDITIONAL REFERENCE MATERIAL………………….....…………………………………i - iv

Airway, Bronchoesophagology, and Laryngology

Butskiy O, Mistry B, Chadha NK. Surgical interventions for pediatric unilateral vocal cord

paralysis: a systematic review.

JAMA Otolaryngol Head Neck Surg

. 2015; 141(7):654-660.

EBM level 3............................................................................................................................1-7

Summary

: This article presents a systematic review of surgical interventions for pediatric

unilateral vocal cord paralysis (UVCP). The authors present a review of 15 articles and

conclude that although the overall level of evidence is relatively low, surgical interventions

for UVCP tend to be successful, with a particular emphasis on the increasing experience with

laryngeal reinnervation procedures. The article provides a knowledge base for appropriate

counseling of affected children.

Carter J, Rahbar R, Brigger M, et al. International Pediatric ORL Group (IPOG)

laryngomalacia consensus recommendations.

Int J Pediatr Otorhinolaryngol

. 2016; 86:256-

261. EBM level 5.................................................................................................................8-13

Summary

: This article presents an installment from the International Pediatric

Otorhinolaryngology Group, which was formed by a series of thought leaders in the field to

develop clinical consensus for conditions and therapies that lack a strong base of quantitative

data. This article seeks to provide data-driven recommendations where available, but

primarily focuses on the experience of the group and resultant consensus in developing

algorithms. The manuscript provides detailed evaluation and management strategies for

children presenting with laryngomalacia.

Richter A, Chen DW, Ongkasuwan J. Surveillance direct laryngoscopy and bronchoscopy in

children with tracheostomies.

Laryngoscope

. 2015; 125(10):2393-2397. EBM

level 4..................................................................................................................................14-18

Summary

: This article presents a large single-institution experience regarding practice of

surveillance bronchoscopy in children with tracheostomy. The authors report that 58% of

procedures were associated with interventions such as removal of granulation tissue or

tracheostomy tube exchange. The article provides support for the practice of surveillance

bronchoscopy in children to ensure optimal airway care.