Abstract

Eighty cases of upper airway obstruction were studied as regards to aetiopathology and their management. Their age ranged from 0– 5 years. Higher incidence was observed among male children below 3 years, and during winter months. Tracheostomy rather than endotracheal intubation was found to be the most useful procedure along with steroid therapy in managing severe obstruction. Direct laryngoscopy with clinical correlation was sufficient in most of the cases in predicting the cause of respiratory distress so as to decide the appropriate therapy. Children with respiratory failure at the time of admission had poorest prognosis, but the overall mortality rate is very minimal.

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