Congenital lesions associated with airway narrowing, respiratory distress, and unexpected infant and early childhood death

TY - JOUR

T1 - Congenital lesions associated with airway narrowing, respiratory distress, and unexpected infant and early childhood death

AU - Rohde, Marianne

AU - Banner, Jytte

AU - Byard, Roger W.

PY - 2005/6/1

Y1 - 2005/6/1

N2 - A review was undertaken of the range of possible congenital lesions of the major airways and adjacent tissues that may cause critical compromise of luminal diameter with resultant respiratory arrest from airway occlusion. Lesions included micrognathic syndromes, macroglossia, choanal atresia and stenosis, tumors and choristomas, posterior lingual masses, laryngeal atresia and stenosis, laryngeal webs, laryngeal cysts and laryngoceles, laryngomalacia, tracheomalacia, and bronchomalacia. An autopsy approach to possible congenital obstructive lesions of the upper airway requires: (1) review of the clinical and family histories looking specifically at the nature of the terminal episode; (2) external examination looking for dysmorphic syndromes with mandibular or mid-facial hypoplasia; and (3) internal examination with layer dissection of the soft tissues of the neck and en bloc removal of the upper aerodigestive tract, with photographic recording and histological sampling.

AB - A review was undertaken of the range of possible congenital lesions of the major airways and adjacent tissues that may cause critical compromise of luminal diameter with resultant respiratory arrest from airway occlusion. Lesions included micrognathic syndromes, macroglossia, choanal atresia and stenosis, tumors and choristomas, posterior lingual masses, laryngeal atresia and stenosis, laryngeal webs, laryngeal cysts and laryngoceles, laryngomalacia, tracheomalacia, and bronchomalacia. An autopsy approach to possible congenital obstructive lesions of the upper airway requires: (1) review of the clinical and family histories looking specifically at the nature of the terminal episode; (2) external examination looking for dysmorphic syndromes with mandibular or mid-facial hypoplasia; and (3) internal examination with layer dissection of the soft tissues of the neck and en bloc removal of the upper aerodigestive tract, with photographic recording and histological sampling.

KW - Atresia

KW - Bronchomalacia

KW - Congenital lesions

KW - Forensic pathology

KW - Infant death

KW - Laryngomalacia

KW - Macroglossia

KW - Micrognathia

KW - Stenosis

KW - Tracheomalacia

KW - Upper airway

UR - http://www.scopus.com/inward/record.url?scp=23844499980&partnerID=8YFLogxK

U2 - 10.1385/ForensicSci.Med.Pathol.:1:2:91

DO - 10.1385/ForensicSci.Med.Pathol.:1:2:91

M3 - Review

AN - SCOPUS:23844499980

SN - 1547-769X

VL - 1

SP - 91

EP - 96

JO - Forensic Science, Medicine, and Pathology

JF - Forensic Science, Medicine, and Pathology

IS - 2

ER -