Virtual Pediatric Hospital: ElectricAirway: Upper Airway Problems in Children
ElectricAirway: Upper Airway Problems in Children: Croup Syndromes
Answer to 16
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 D. Treatment of congenital subglottic stenosis is based on the etiology and amount of obstruction. Most children require only expectant watching. Bronchoscopy for evaluation of progress is needed (Procedure E). Other children may require periodic dilatation with tracheal dilators (Procedure F). Some children that are severely affected may need tracheotomy or tracheoplasty. During intercurrent illnesses, these severely affected children may need a period of mechanical ventilation (Procedure G) Generally, most children outgrow their stenosis by age 3 - 4 years.
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