1 / 27

Upper Respiratory tract Obstruction

presented by : Dr. Mona Ahmed A/Raheem ENT Surgeon Khartoum National Center for Ear, Nose and Throat Diseases and Head and Neck Surgery Assistant Professor Faculty of Medicine & Health Sciences Alneelain University. Upper Respiratory tract Obstruction. Definition.

zarek
Download Presentation

Upper Respiratory tract Obstruction

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. presented by : Dr. Mona Ahmed A/RaheemENT SurgeonKhartoum National Center for Ear, Nose and Throat Diseases and Head and Neck SurgeryAssistant ProfessorFaculty of Medicine & Health SciencesAlneelain University Upper Respiratory tract Obstruction

  2. Definition It is obstruction of the respiratory tract above the larynx. The upper airway extends from the nares to the inferior end of the larynx. The lower airway extends from the inferior end of the larynx to the terminal bronchioles.

  3. Respiratory System Diagram

  4. Stridor • Is a physical sign common to all causes of URT obstruction • It is a harsh, raspy noise produced by the flow of air through partially obstructed airway

  5. Inspiratory stridor: Obstruction at the level of the larynx or above • Biphasic stridor: Obstruction in the trachea • Expiratory stridor: 0bstruction below the carena

  6. causes • Larynx • Supraglottic: laryngomalacia web cystic hygroma laryngocele

  7. Glottic: web vocal cord paralysis • Subglottic: web stenosis haemangioma

  8. Laryngeal Web (glottic)

  9. Laryngeal Web (endoscopic view)

  10. 2-Trachea & Bronchi web stenosis tracheomalacia 3- Trauma thermal &chemical external surgical intubation

  11. 4- Foreign Body laryngeal tracheal broncheal 5- Inflammtory acute laryngitis laryngeotracheobronchitis (croup) acute epiglottitis diphtheria 6- Allergy 7- Neoplasm

  12. Managment 1- History 2- secure the upper airway

  13. Foreign Bodies • History: • Usually there is definitive history of choking followed by paroxysmal coughing then subsides. • After the initial paroxysm of coughing the tracheobronchial mucosa becomes tolerant to the F.B & cough ceases.

  14. The triad of symptoms of F.B inhalation are • chocking • Choughing • Wheezing • Present in 91% OF pts. • Sudden onset of wheeze in a child not known to be asthmatic especially if it is unilateral possibility of F.B inhalation

  15. Persistent fever with respiratory tract infection not respond to treatment is possible to be F.B inhalation. • Persistent or recurrent penumonia needs Brochoscopy to execlude the presnce of F.B

  16. Clinical features: Patient present with variety of symptoms depending on the location of the F.B & degree of obstruction • In the first few hours • Audible click may be heared by stethoscope due to movement of F.B • Unilateral respiratory wheeze & reduced air entery indecate F.B bronchus. • If F.B not removed within the first 24 hours

  17. Pneumotic signes may be found • Atelectasis of the distal lung • Lung absces ( takes several months )

  18. Investigation • Radiological, X RAY with extended neck both antroposterior & lateral views • Sometimes may need CT SCAN in long standing F.Bs

  19. Treatment laryngoscopy or bronchoscopy

  20. F.B Right Main Bronchus

  21. F.B

  22. Tracheostomy

  23. Tracheostomy Procedure

  24. Plastic Tracheostomy Tube(Portics)

  25. Metalic Tracheostomy Tube

  26. THANK YOU

More Related