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Pediatric laryngeal measurements based on computed tomography images

dc.contributor.kuauthorÜnsaler, Selin
dc.contributor.kuauthorGökler, Ozan
dc.contributor.kuauthorAygün, Murat Serhat
dc.contributor.kuauthorŞahin, Selin Merve
dc.contributor.kuauthorYaycıoğlu, Arda
dc.contributor.kuauthorAltuntaş, Muzaffer Ozan
dc.contributor.kuauthorÜnal, Ömer Faruk
dc.contributor.kuauthorHafız, Ayşenur Meriç
dc.contributor.kuprofileTeaching Faculty
dc.contributor.kuprofileTeaching Faculty
dc.contributor.kuprofileUndergraduate Student
dc.contributor.kuprofileOther
dc.contributor.kuprofileFaculty Member
dc.contributor.schoolcollegeinstituteSchool of Medicine
dc.contributor.unitKoç University Hospital
dc.contributor.yokid167909
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dc.date.accessioned2024-11-09T11:57:13Z
dc.date.issued2022
dc.description.abstractBackground: this study aimed to establish average laryngeal measurements in the Turkish pediatric population and measure the narrowest portion of the pediatric airway. Methods: the laryngeal measurements of 88 pediatric patients between the ages 0 and 17 were retrospectively obtained from neck computed tomography scans performed between January 2018 and May 2021. Subjects were divided into 6 age groups. Four following measurements were made: cricoid anteroposterior, cricoid transverse, subglottic anteroposterior, and subglottic transverse. Cross-sectional areas were calculated using these dimensions. Subglottic cross-sectional area/cricoid crosssectional area ratio for each subject was calculated and patients were divided into 2 groups: group 1, subjects with ratio < 1; group 2, subjects with ratio ? 1. Results: mean age was 8.97 ± 5.7. Mean anteroposterior diameters at subglottis and cricoid ring levels were 13.74 ± 4.45 mm and 13.26 ± 4.39 mm; mean transverse diameters were 7.88 ± 2.62 mm and 9.06 ± 3.12 mm, respectively. The subglottic anteroposterior diameter was greater than cricoid (P < .001), but the transverse diameter was smaller than cricoid (P < .001). Subglottic cross-sectional area was 93.24 ± 59.20 mm2 and cricoid cross-sectional area was 103.61 ± 69.15 mm2 . Subglottic cross-sectional area/cricoid cross-sectional area ratio was smaller than 1 in 69 subjects (group 1; mean=0.85) and equal to or greater than 1 in 19 subjects (group 2; mean=1.33). Conclusion: the narrowest portion of the airway was subglottis immediately below the vocal cords, in contrast to the common belief as to the cricoid ring. Subglottic cross-sectional area/cricoid cross-sectional area ratios showed that the pediatric airway was larger at cricoid (69 subjects, 78.4%), and this ratio does not differ based on age.
dc.description.fulltextYES
dc.description.indexedbyWoS
dc.description.indexedbyTR Dizin
dc.description.issue2
dc.description.openaccessYES
dc.description.publisherscopeNational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume12
dc.formatpdf
dc.identifier.doi10.5152/entupdates.2022.22167
dc.identifier.eissn2149-6498
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR03889
dc.identifier.linkhttps://doi.org/10.5152/entupdates.2022.22167
dc.identifier.quartileN/A
dc.identifier.urihttps://hdl.handle.net/20.500.14288/869
dc.identifier.wos865983500005
dc.keywordsPediatric airway
dc.keywordsLaryngeal diameters
dc.keywordsCricoid
dc.languageEnglish
dc.publisherAves
dc.relation.grantnoNA
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10756
dc.sourceENT Updates
dc.subjectMedicine
dc.titlePediatric laryngeal measurements based on computed tomography images
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.authorid0000-0001-7108-9194
local.contributor.authoridN/A
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local.contributor.kuauthorÜnsaler, Selin
local.contributor.kuauthorGökler, Ozan
local.contributor.kuauthorAygün, Murat Serhat
local.contributor.kuauthorŞahin, Selin Merve
local.contributor.kuauthorYaycıoğlu, Arda
local.contributor.kuauthorAltuntaş, Muzaffer Ozan
local.contributor.kuauthorÜnal, Ömer Faruk
local.contributor.kuauthorHafız, Ayşenur Meriç

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