Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children
ElectricAirway: Upper Airway Problems in Children: Croup Syndromes
Answer to 4
Donna M. Santer, M.D., Michael P. D'Alessandro, M.D.
Peer Review Status: Externally Peer Reviewed by Lauren D Holinger, MD, Robert J. Winter, MD and the AMA
The answer is C. Video A shows thin, very floppy laryngeal structures, which even appear to collapse in on themselves during the respiratory cycle. This is a bronchoscopy of laryngomalacia. Video B shows no movement of the vocal cords during the respiratory cycle and normal appearing supraglottic structures. This bronchoscopy shows bilateral vocal cord paralysis. The answer is Video C,which reveals edematous, erythematous supraglottic and glottic structures. This is a bronchoscopy of acute epiglottitis just before intubation.
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