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Airway (Children)

2024/06/26
What is Airway (Children)?
Noisy breathing, difficulty with feeding and voice issues in children often co-exist. These symptoms can be life-threatening or significantly delay a child’s growth and development. Sometimes, these symptoms, resulting from underlying airway anomalies such as narrowing and tumours, may be incorrectly diagnosed as asthma or recurrent infections.
Diagnosis and Treatment Options

In our clinic, a flexible nasoendoscopy is performed to identify the obstruction site. Additionally, airway X-rays might be required. Our speech and swallowing therapist evaluates any associated voice and feeding difficulties. In some cases, a rigid bronchoscopy under general anaesthesia is necessary.

We strive to circumvent the need for an artificial airway opening in the neck (tracheotomy) wherever possible, allowing the child to breathe, speak and socialise normally.

Historically, there surgical options for children with airway issues were limited. Currently, our doctors are able to offer the expertise to conduct complex airway reconstruction surgeries.

Techniques such as rib grafts, wire and silicone stents, and resection-anastomosis surgery are available and can also benefit adults .

A multi-disciplinary team, including ENT, respiratory, various surgery sub-specialties, gastroenterology, genetics, speech and swallow experts, collaborate to streamline the evaluation process, minimise investigation duration and optimise treatment strategies. Perioperatively, expert care from NUH’s Neonatal and Paediatric Intensive Care Units are readily available.
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