Evaluation of Ultrasonic Anatomy of Epiglottis and PreEpiglottic Space in pre Pubertal Children: A Tertiary Hospital based Propective Study
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 1
Abstract
Introduction: The epiglottis and pre-epiglottic space assessment is becoming an important constituent of airway evaluation especially in children as precise appraisal may help the otorhinolaryngologists to manage life-threatening epiglottitis. The purpose of the study was to evaluate the utility of ultrasound in evaluating the epiglottis and pre-epiglottic space anatomy and dimensions in Pre-Pubertal children. Material and methods: This prospective study was conducted in the Department of Radio-diagnosis, BPS GMCW Khanpur Kalan Sonepat Haryana involving 62 patients between age group 4-12 of either sex coming for non-airway related sonography. In the descriptive statistical analysis, continuous variables were noted in terms of the mean and standard deviation and nominal variables were noted in terms of percentage. Results: In our study, average epiglottis thickness and the pre-epiglottal space thickness were found to be 1.2 +/-0.22 mm and 4.1 +/ -0.76 mm, respectively. Epiglottic and pre-epiglottic dimensions (AP) were seen to be statistically less in 4-8 years age group than 9-12 years group. Both epiglottis and pre-epiglottic space dimensions were seen to be more in male than female in both age groups (4-8 years and 9-12 years);however only the pre epiglottic space thickness difference in 4-8 years age group (more in male) is seen to be statistically significant (p=0.03). Conclusion: There is tremendous scope for clinical applications of sonography of the epiglottis and pre-epiglottic space with potential utility in differential diagnosis.
Authors and Affiliations
Chiranjeev Kumar Gathwal, Monika B Gathwal, Kulvinder Singh, Saru Singh, Sweta Bhincher
Keywords
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