Airway Obstruction in Children

  • Janet L. Strife


The radiologist plays a key role in the diagnosis of airway obstruction in children. In some instances, foetal imaging has significantly contributed to our understanding of congenital lesions, their natural history, and the effects of airway obstruction. In infants and young children, diagnosis, and obstruction site and severity are frequently determined by chest radiographs or airway images. Advanced imaging techniques with computed tomography (CT) and magnetic resonance (MR) play a role in children with chronic upper airway compromise or who are suspected of having extrinsic airway compression by a mass or vascular arch anomaly. Technical advances with faster scanners with gating utilising CT and MR with sophisticated postprocessing graphic workstations has made it much easier for both the radiologists and clinical services to understand the anatomy.


Obstructive Sleep Apnoea Left Pulmonary Artery Innominate Artery Obstructive Sleep Apnoea Syndrome Bronchogenic Cyst 
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  1. 1.
    Kirks DR (ed) (1991) Practical pediatric imaging: diagnostic radiology of infants and children. Little Brown, Boston, MAGoogle Scholar
  2. 2.
    Courtier J, Poder L, Wang ZJ et al (2010) Fetal tracheolaryngeal airway obstruction: prenatal evaluation by sonography and MRI. Pediatr Radiol 40:1800–1805PubMedCrossRefGoogle Scholar
  3. 3.
    Guimaraes CV, Linam LE, Kline-Fath BM et al (2009) Prenatal MRI findings of fetuses with congenital high airway obstruction sequence. Korean J Radiol 10:129–134PubMedCrossRefGoogle Scholar
  4. 4.
    Koplewitz BZ, Springer C, Slasky BS et al (2005) CT of hemangiomas of the upper airways in children. AJR Am J Roentgenol 184:663–670PubMedCrossRefGoogle Scholar
  5. 5.
    Owens J, Opipari L, Nobile C et al (1998) Sleep and daytime behavior in children with obstructive sleep apnea and behavioral sleep disorders. Pediatrics 102:1178–1184PubMedCrossRefGoogle Scholar
  6. 6.
    Donnelly LF, Strife JL (2001) Advanced techniques for imaging the pediatric airway. In: Strife JL (ed) Pediatric chest imaging. Springer, Berlin, pp 155–169Google Scholar
  7. 7.
    Donnelly LF (2005) Obstructive sleep apnea in pediatric patients: evaluation with cine MR sleep studies. Radiology 236:768–778PubMedCrossRefGoogle Scholar
  8. 8.
    Berdon WE, Baker DH, Wung JT et al (1984) Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: the ring-sling complex. Radiology 152:57–64PubMedGoogle Scholar
  9. 9.
    Radhakrishnan R, Fleck RJ, Donnelly LF et al (2010) Complete tracheal rings: CT imaging features in 40 cases. Society for Pediatric Radiology, Boston, MAGoogle Scholar
  10. 10.
    Azizkhan RG, Crombleholme TM (2008) Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int 24:643–657PubMedCrossRefGoogle Scholar
  11. 11.
    Berrocal T, Madrid C, Novo S et al (2004) Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 24:e17PubMedCrossRefGoogle Scholar
  12. 12.
    McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML et al (2000) Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology 217:441–446PubMedGoogle Scholar
  13. 13.
    Newman B (2006) Congenital bronchopulmonary foregut malformations: concepts and controversies. Pediatric radiology 36:773–791PubMedCrossRefGoogle Scholar
  14. 14.
    Daltro P, Werner H, Gasparetto TD et al (2010) Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics 30:385–395PubMedCrossRefGoogle Scholar
  15. 15.
    Berdon WE, Baker DH (1972) Vascular anomalies and the infant lung: rings, slings, and other things. Semin Roentgenol 7:39–64PubMedCrossRefGoogle Scholar
  16. 16.
    Cina CS, Althani H, Pasenau J et al (2004) Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg 39:131–139PubMedCrossRefGoogle Scholar
  17. 17.
    Donnelly LF, Fleck RJ, Pacharn P et al (2002) Aberrant subclavian arteries: cross-sectional imaging findings in infants and children referred for evaluation of extrinsic airway compression. AJR Am J Roentgenol 178:1269–1274PubMedCrossRefGoogle Scholar
  18. 18.
    Strife JL, Baumel AS, Dunbar JS (1981) Tracheal compression by the innominate artery in infancy and childhood. Radiology 139:73–75PubMedGoogle Scholar
  19. 19.
    Biyyam DR, Chapman T, Ferguson MR et al (2010) Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics 30:1721–1738PubMedCrossRefGoogle Scholar
  20. 20.
    Lee KH, Yoon CS, Choe KO et al (2001) Use of imaging for assessing anatomical relationships of tracheobronchial anomalies associated with left pulmonary artery sling. Pediatr Radiol 31:269–278PubMedCrossRefGoogle Scholar
  21. 21.
    Zhong YM, Jaffe RB, Zhu M et al (2010) CT assessment of tracheobronchial anomaly in left pulmonary artery sling. Pediatr Radiol 40:1755–1762PubMedCrossRefGoogle Scholar
  22. 22.
    Donnelly LF, Bisset GS, 3rd, McDermott B (1995) Anomalous midline location of the descending aorta: a cause of compression of the carina and left mainstem bronchus in infants. AJR Am J Roentgenol 164:705–707PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • Janet L. Strife
    • 1
  1. 1.Department of Radiology, Cincinnati Children’s HospitalUniversity of CincinnatiCincinnatiUSA

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