Acute upper airway obstruction in infancy and childhood — A study of 80 cases

  • Govind Chandra Sahoo
Short Communication


Eighty cases of upper airway obstruction were studied as regards to aetiopathology and their management. Their age ranged from 0– 5 years. Higher incidence was observed among male children below 3 years, and during winter months. Tracheostomy rather than endotracheal intubation was found to be the most useful procedure along with steroid therapy in managing severe obstruction. Direct laryngoscopy with clinical correlation was sufficient in most of the cases in predicting the cause of respiratory distress so as to decide the appropriate therapy. Children with respiratory failure at the time of admission had poorest prognosis, but the overall mortality rate is very minimal.


Airway Obstruction Infant Children Direct Laryngoscopy Tracheostomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Arthurton, M., et al (1970): Stridor in paediatric department, Proc. Roy. Soc. Med., 63, 713–4.Google Scholar
  2. 2.
    Baxter, J.D. (1967): Acute epiglottitis in children, Laryngoscope, vol. 77, 1350–1367.CrossRefGoogle Scholar
  3. 3.
    Bawn, H.L. (1928): Acute laryngotracheobronchitis, JAMA, 91: 1097–1102.Google Scholar
  4. 4.
    Bawn, H.L. (1945): Treatment of acute laryngotracheobronchitis, Arch. Otolaryngol., 41: 175–181.Google Scholar
  5. 5.
    Blaud, P. (1825): Nowvelles recherches sur la larungo tracheote canne recherches surla non de croup, Paris.Google Scholar
  6. 6.
    Clemis, J.D. & Derluck, E.L. (1970): Allergy of the upper respiratory tract, Otol. Clin. N. Am., 3: 265–276.Google Scholar
  7. 7.
    Darison, Francis, W (1959): Acute laryngeal obstruction in children, JAMA, 11: 1301–1305.Google Scholar
  8. 8.
    Davison, F.W. (1967): Inflammatory diseases of larynx of infants and small children, Ann. Otol. Rhinol. Laryngol., vol. 76, 753.PubMedGoogle Scholar
  9. 9.
    Davison, F.W., Francis, W. (1978): Allergy and infection, Otol. Clin. N. Am., 453, M71.Google Scholar
  10. 10.
    Fearon, B. (1962): Acute laryngotracheobronchitis in infancy and childhood, Pediat, Clin. North Am., vol. 9, 1095.Google Scholar
  11. 11.
    Fearon, B. (1964): The idiopathic respiratory distress syndrome in the newborn, Ann. Otol., vol. 73, 1081–1094.Google Scholar
  12. 12.
    Fearon, B. (1978): Acute obstructive laryngitis in infant and children, Hosp. Med., 51, Dec.Google Scholar
  13. 13.
    Fearon, B., Ferguson, E.F., Kending, E.L., Jr. (eds.) (1972): Acute airway obstruction, pediatric Otol., Philadelphia, W.B. Saunders Co., vol. 2, 1083–1191.Google Scholar
  14. 14.
    Fearon, B., Robert E., Mac Donald, Code Smith, David Mitchell (1966): Airway problems in children following prolonged endotracheal intubation, Ann. Otorhinolaryngol., vol. 75, 975–986.Google Scholar
  15. 15.
    Galloway, T.C., Evanston (1939): Postural treatment of acute laryngotracheobronchitis, JAMA, 112, 1966–1969.Google Scholar
  16. 16.
    Hollinger, P.H. & Johnson, K.C. (1958): Factors responsible for laryngeal obstruction in infants, JAMA, 143, 1224–1232.Google Scholar
  17. 17.
    Hollinger, P.H. & Stern L. Kutnik (1976): Subglottic stenosis on infant and children, Ann. Oto. 85, 591.Google Scholar
  18. 18.
    Jackson, C. (1921): Croupy cough and dyspnoea stimulating diphtheria due to infective laryngotracheobronchitis, M. Clin. North Am., 5: 648.Google Scholar
  19. 19.
    Jackson, C. (1912): Influenzal tracheitis, Laryngoscope, 22: 130–135.Google Scholar
  20. 20.
    Jackson, C & Jackson, C.L. (1936): Acute laryngotracheobronchitis, JAMA, 107, 929–932.Google Scholar

Copyright information

© Association of Otolaryngologists of India 1996

Authors and Affiliations

  • Govind Chandra Sahoo
    • 1
  1. 1.Rajah Muthiah Medical College & HospitalAnnamalai UniversityTamil Nadu

Personalised recommendations