2017 Sec 1 Green Book

T ABLE OF C ONTENTS Selected Recent Materials - Reproduced in this Study Guide

SECTION 1: CONGENITAL AND PEDIATRIC PROBLEMS SEPTEMBER 2017

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

I.

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.