Investigation of Upper Respiratory Tract Pathologies in Neonatal Intensive Care Unit

Year 2019, Volume: 9 Issue: 3, 241 - 244, 30.09.2019

Murat Konak , Ömer Erdur , Muhammed Yaşar Kılınç Hanifi Soylu

https://doi.org/10.16899/jcm.606183

Cited By: 1

Abstract

Abstract

Aim

Respiratory diseases
are very common in neonatal intensive care units, but most of them are
respiratory distress syndrome with lower respiratory pathologies, transient
tachypnea of ​​newborn and meconium aspiration syndrome. Following the advances
in neonatalology science, the survival of more babies and taking respiratory
support for a longer period of time leads to possible upper respiratory tract
pathologies in these babies. In addition, congenital anomalies are common in
our country, where consanguineous marriages are still very common. In this
study, we aimed to present the upper respiratory tract pathologies followed by
congenital and acquired causes and to raise awareness of these dangerous
diseases which are sometimes overlooked.

Materials
and Methods

In this study, files of
patients hospitalized in Neonatal Intensive Care Unit (NICU) of Selçuk
University Medical Faculty between 2016-2019 were reviewed retrospectively.

Results

During this period,
approximately 1800 babies were followed. 340 of these infants were asked to
consult from Department of Otolaryngology-Head and Neck Surgery with a
preliminary diagnosis of upper respiratory tract pathology. Coanal atresia in 6
cases, vocal cord paralysis in 20 cases, subglottic stenosis in 2 cases and
laryngomalacia in 14 cases were detected.

Conclusion

In the light of the
developments in NICUs, more premature babies live and infants with severe
congenital anomalies, especially congenital heart disease, are frequently
undergone surgical procedures. As a result of these conditions, it is thought
that upper respiratory tract pathology should be considered in the follow-up of
the patients or in the post-operative period.

Keywords

Upper respiratory tract pathology, coanal atresia, vocal cord paralysis, laryngomalacia

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