Overview

Featuring topics by a wide range health care professionals across the specialties who care for children with these disorders, Pediatric Aerodigestive Disorders presents a clinical set of problems that are disease, not specialty specific, and approaches them from the various standpoints of the different specialties to highlight how each can work together to identify a unified diagnosis and proper treatment.

This philosophy is based on a five-year experience between the Massachusetts Eye and Ear Infirmary and the Massachusetts General Hospital for Children, where a core team of pediatric otolaryngologists, pulmonologists, gastroenterologists, psychologists, psychiatrists, and speech-language pathologists see patients together, viewing them from differing perspectives, using different tests to arrive at diagnoses, and performing joint procedures as necessary.

The outcome is a book and DVD package that is at once novel, exciting, and educational. It represents a cross-fertilization of thoughts and ideas from a seemingly diverse group of specialists that focuses on specific pediatric disease-based and pediatric voice pathology-based topics.

• SECTION 1: AERODIGESTIVE ENDOSCOPY
  • 1. Rigid Laryngoscopy, Tracheoscopy, and Bronchoscopy Michael Wilhelm and Mark E. Boseley
  • 2. Flexible Bronchoscopy Kenan Haver
  • 3. Esophagogastroduodenoscopy in a Multidisciplinary Setting Stephen Hardy
• SECTION 2. IMAGING, PULMONARY FUNCTION TESTING, AND ANESTHESIA CONCERNS
  • 4. Imaging of the Pediatric Airway Mary Elizabeth Cunnane and Paul Caruso
  • 5. Pulmonary Function Testing in Children Kenan Haver
  • 6. Anesthetic Management of Pediatric Aerodigestive Disorders Corey Collins and Charles J. Coté
• SECTION 3: SITE-SPECIFIC AERODIGESTIVE DISORDERS
  • 7. Nasal and Nasopharyngeal Obstruction Matthew T. Brigger and Christopher J. Hartnick
  • 8. Oral and Oropharyngeal Obstruction Sally Shott and Gresham Richter
  • 9. Tonsillectomy and Tonsillotomy: Treating Common Obstructor Michael J. Cunningham
  • 10. Laryngomalacia Gresham T. Richter and Dana M. Thompson
  • 11. Vocal Fold Immobility Matthew T. Brigger and Christopher J. Hartnick
  • 12. Subglottic Stenosis Matthew T. Brigger and Christopher J. Hartnick
  • 13. Tracheomalacia and Tracheal Stenosis Gresham T. Richter, Christopher T. Wootten, and Michael J. Rutter
  • 14. The Diagnosis and Management of Laryngeal Clefts Emily F. Rudnick and Andrew F. Inglis
• SECTION 4: SELECTED TOPICS
  • 15. Laryngopharyngeal Reflux: pH Probe, BRAVO, and Multichannel Intraluminal Impedance pH Monitoring Alessio Morley-Fletcher and Leonel Rodriquez
  • 16. Extraesophageal Manifestations of GERD Benjamin D. Gold and Tejas R. Mehta
  • 17. Chronic Cough in Children Christina V. Scirica and Kenan Haver
  • 18. Eosinophilic Esophagitis: Gastrointestinal and Extraesophageal Manifestations Vincent A. Mukkada, Dana Thompson, and Glenn T. Furuta
  • 19. Juvenile Onset Recurrent Respiratory Papillomatosis Matthew T. Brigger and Christopher J. Hartnick
  • 20. Primary Ciliary Dyskinesia Andrew J. Ives, Mellisa Dixon, Amelia Shoemark, Adam Jaffee, and Claire L. Hogg
  • 21. Pediatric Swallowing Disorders: The Speech-Language Pathologist’s Perspective Jean E. Ashland and Cheryl J. Hersh
  • 22. Aspiration and the Lung Colin Wallis and Donald Urquhart
  • 23. Habit Cough Ceila E. Loughlin and Gerald M. Loughlin
  • 24. Paradoxic Vocal Fold Motion Venu Divi, Mary J. Hawkshaw, and Robert T. Sataloff
  • 25. Behavioral Medicine Approaches to Paradoxical Vocal Fold Movement and Habit Cough Abigail L. Donovan, Suzanne Bender, and Bruce J. Masek
  • 26. Pediatric Voice Disorders Matthew T. Brigger and Christopher J. Hartnick
  • 27. Evaluation of the Child with a Vocal Disorder Shirley Gherson and Barbara M. Wilson Arboleda
  • 28. Diagnosis of Sleep Disordered Breathing: The Perspective of a Sleep Medicine Specialist Norman R. Friedman and Keith L. Cavanaugh
  • 29. Noninvasive Ventilation Dean R. Hess
• Index

DVD Contents:

• Video 1-1. Standard direct laryngoscopy and tracheoscopy

• Video 6-1. Demonstrations of a spontaneously breathing child *:under general intravenous anesthesia
• Video 6-2. Demonstrations of a spontaneously breathing child *:under general intravenous anesthesia

• Video 8-1. Sleep Cine MRI of Patient A

• Video 10-1. Infant undergoing flexible layrngoscopy
• Video 10-2. Flexible bronchoscopy of child with severe *:laryngomalacia
• Video 10-3. Microlaryngoscopy of infant with laryngomalacia
• Video 10-4. Microlaryngoscopy, bronchoscopy, *:supraglottoplasty in infant with severe laryngomalacia

• Video 11-1. Preoperative stroboscopy
• Video 11-2. Preoperative voice sample
• Video 11-3. Postoperative stroboscopy
• Video 11-4. Postoperative voice sample
• Video 11-5. Bilateral vocal fold immobility
• Video 11-6. Left unilateral vocal fold immobility
• Video 11-7. Apparent left vocal fold motion in a child

• Video 13-1. Rigid bronchoscopic evaluation of infant with *:tracheomalacia
• Video 13-2. Rigid endoscopic evaluation using a Hopkins rod *:of infant with severe tracheal stenos
• Video 13-3. A figure 8 deformity with Hopkins rod *:bronchoscopy of the trachea

• Video 14-1. Awake flexible fiberoptic laryngoscopy on patient *:with laryngotracheal cleft
• Video 14-2. Diagnostic endoscopy of patient with type 3 *:laryngotracheal cleft
• Video 14-3. Endoscopic repair of type 2 laryngotracheal cleft

• Video 16-1. Subglottic stenosis in an infant with stridor

• Video 19-1. Intraoperative clip of obstructing papilloma with *:ball valving effect

• Video 20-1. High-speed digital video of ciliated epithealial *:strip
• Video 20-2. High-speed digital video of top view of clilated *:epithealial strip
• Video 20-3. High-speed digital video of completely static *:cilia
• Video 20-4. High-speed digital video of abnormal, dyskinetic *:beat pattern
• Video 20-5. High-speed digital video of abnormal, stiff beat *:pattern
• Video 20-6. High-speed digital video of top view epithealial *:stip
• Video 20-7. High-speed digital video of patient with known
  transposition defect

• Video 21-1. VFSS exam in a patient with laryngomalacia
• Video 21-2. Nasopharyngoscopy exam by ORL service
• Video 21-3. Transient dysphagia during postsurgical recovery
• Video 21-4. VFSS exam in a patient with type I laryngeal *:cleft
• Video 21-5. FEES exam demostrating an anterior-posterior *:aspiration pattern in patient without layrngeal cleft
• Video 21-6. FEES exam demonstrating lateral aspiration *:pattern in a patient without laryngeal cleft
• Video 21-7. VFSS exam- a normal swallow despite tracheostomy
• Video 21-8. VFSS exam- etiology of aspiration related to
  neurodevelopmental disorder
• Video 21-9. Pattern of deep penetration into laryngeal *:vestibule
• Video 21-10. VFSS exam of unrepaired tracheoesophageal *:fistula
• Video 21-11. VFSS of narrowing at site of repair of TEF and *:delayed esophageal motility
• Video 21-12. Persistent slowed esophageal motility at site of *:TEF repair, 4 years
• Video 21-13. Nasopharyngeal reflux
• Video 21-14. Impaired coordination and motility of the *:pharnyx
• Video 21-15. VFSS of gross, silent aspiration with thin *:liquids
• Video 21-16. VFSS following deactivation of VNS

• Video 22-1. Incoordinate swallowing in a 7 year-old
• Video 22-1A. (same patient as 22-1) after the institution of *:corticosteroid therapy
• Video 22-2. Contrast dye during oral administration of *:contrast-labeled milk
• Video 22-3. Example of flexible bronchoscopy examination
• Video 22-4. After swallowing pooling and holdup
• Video 22-5. Some buildup of feed
• Video 22-6. Poor coordination in all phases of swallowing

• Video 23-1. Classic psychogenic cough
• Video 23-2. Suggestion therapy for habit cough
• Video 23-3. Hypnosis therapy for habit cough

• Video 24-1. Video example of PVFM

• Video 25-1. Pediatric patient with Paradoxical Vocal Fold *:Movement

• Video 26-1. Preoperative voice recording
• Video 26-2. Preoperative stroboscopic exam of anterior *:glottal web
• Video 26-3. Postoperative voice recording
• Video 26-4. Postoperative stroboscopic exam
• Video 26-5. Stroboscopic exam demonstrating normal laryngeal *:exam
• Video 26-6. Pre and postoperative stroboscopy of vocal fold *:cyst
• Video 26-7. Obstructing papilloma in 5 year-old
• Video 26-8. Dysphonia secondary to puberphonia

• Video 27-1. Pre-therapy speech sample of 7 year-old with *:right vocal fold
• Video 27-2. Voice sample of 3.5 year-old with history of *:pulmonary compromise
• Video 27-3. Pre-therapy speech sample of 10 year-old with *:history of layrngeal reconstruction
• Video 27-4. Speech sample and laryngeal exam of 10 year-old

• Video 28-1. Primary snoring
• Video 28-2. Child with no evidence of obstruction on sleep *:epoch
• Video 28-3. Obstructive respirations with associated oxygen *:desaturations
• Video 28-4. Obstructive respirations and neck hyperextension
• Video 28-5. Periodic breathing- episodic central apneas
• Video 28-6. Nasopharyngeal view of enlarged palatine tonsils
• Video 28-7. Enlarged lingual tonsils
• Video 28-8. Tongue prolapse
• Video 28-9. Paradoxic respirations present on left
• Video 28-10. Pitiful index

About The Editors

Kenan Haver

Kenan Haver, MD, is Assistant Professor in the Department of Pediatric Pulmonology at Massachusetts General Hospital for Children, and Co-Director of the Pediatric Aerodigestive Center at Massachusetts Eye and Ear Infirmary.

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Matthew Brigger

Matthew Brigger, MD, is a Fellow in the Department of Otolaryngology at Massachusetts Eye and Ear Infirmary.

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Steve Hardy

Steve Hardy, MD, is Assistant Professor in the Department of Pediatric Gastroenterology at Massachusetts General Hospital for Children, and Co-Director of the Pediatric Aerodigestive Center at Massachusetts Eye and Ear Infirmary.

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Christopher J. Hartnick

Dr. Hartnick is an Associate Professor at Harvard Medical School and has clinical appointments at the Newton-Wellesley Hospital, Newton, MA and the Department of Otolaryngology Massachusetts Eye and Ear Infirmary, Boston, MA, where he is also Co-Director of the, Pediatric Airway, Voice, and Swallowing Center.

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