{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T14:41:32Z","timestamp":1781534492191,"version":"3.54.5"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>\n                      An endoscopic screening program following successful weaning from prolonged mechanical ventilation maintained through endotracheal tube (ET;\n                      <jats:italic>prolonged intubation<\/jats:italic>\n                      ) may be justified to assess the upper (laryngotracheal) airway in children who may not always be symptomatic for intubation-related complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate effects of prolonged intubation in children through endoscopic screening of the laryngotracheal airway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this cross-sectional pilot project, children (2\u2009months-12\u2009years) successfully extubated following prolonged intubation were selected, irrespective of having symptoms, for a 1-time flexible nasolaryngoscopy at third to sixth month post-extubation (follow-up window). Laryngotracheal airway changes, if present, were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of 122 children, 42 developed symptoms of complications. Five of them attended within 3\u2009months post-extubation, the rest were evaluated in the follow-up window. Eighty children aged \u22646\u2009years and 4 children &gt;6\u2009years were intubated with uncuffed ET. Symptoms, when present, included respiratory distress (100%), noisy breathing (~36%), cough (~29%), and dysphagia (~12%). Screening revealed positive findings in 40 out of 42 symptomatic children, and in 8 out of 80 asymptomatic children (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200980.314; after Yate\u2019s correction; significant at\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). The commonest lesion was subglottic stenosis (~54%) and intubation granuloma (~48%). Relationship between the nature of ET (cuffed\/uncuffed) and complications of prolonged intubation was statistically significant (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      46.553; significant at\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The present study proposes the potential utility of follow-up endoscopic screening of upper (laryngotracheal) airway in children successfully weaned from prolonged intubation. A statistically significant relationship existed between prolonged intubation and upper airway complications that were not always symptomatic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894241308411","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T05:18:46Z","timestamp":1735103926000},"page":"310-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Endoscopic Screening for Laryngotracheal Complications in Children Following Prolonged Mechanical Ventilation Maintained Through Endotracheal Intubation: A Cross-Sectional Pilot Project"],"prefix":"10.1177","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3977-3230","authenticated-orcid":false,"given":"Mainak","family":"Dutta","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, All India Institute of Medical Sciences, Kalyani; Basantapur, Saguna, Nadia, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debjit","family":"Jana","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diptanshu","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanaya","family":"Panja","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit Kumar","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divya","family":"Daga","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swarnali","family":"Mondal","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saumendra Nath","family":"Bandyopadhyay","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology &amp; Head-Neck Surgery, Medical College &amp; Hospital, Kolkata; West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.594832"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05488-4"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/ped.14122"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05877-0"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/pan.13281"},{"key":"e_1_3_2_7_2","volume-title":"A Practice of Anesthesia for Infants and Children","author":"Cot\u00e9 CJ","year":"2013","unstructured":"Cot\u00e9 CJ, Lerman J, Anderson BJ, eds. 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