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Symington J (1885)
On the relations of the larynx and trachea to the vertebral column in the foetus and childJ Anat Physiol., 19
Westhorpe RN (1987)
The position of the larynx in children and its relationship to the case of intubationAnaesth Intensive Care, 15
Levine PA Sasaki CT (1977)
Postnatal descent of the epiglottis in manArch Otolaryngol., 103
Abstract Background: Otolaryngologists and anesthesiologists have described a maturational descent of the epiglottis that occurs in infancy and childhood. Objective: To investigate the changing level of the epiglottis to confirm and characterize this phenomenon more completely. Design: A survey of 500 images with 338 images selected for the study. Setting: A tertiary care facility. Patients: Asymptomatic children aged 1 day to 18 years. Main Outcome Measure: The position of the tip of the epiglottis was correlated with the cervical vertebral level. Results: Data indicate that maturational descent of the epiglottis starts in infancy and continues into adolescence. These results are statistically significant (P<.01). Conclusion: Maturational descent of the epiglottis occurs in a predictable pattern. Understanding this phenomenon may facilitate laryngoscopic, as well as clinical and radiologic, evaluation of the airway in children.Arch Otolaryngol Head Neck Surg. 1997;123:627-628 References 1. Sasaki CT, Levine PA, Laitman JT, Crelin ES Jr. Postnatal descent of the epiglottis in man . Arch Otolaryngol. 1977;103:169-171.Crossref 2. Westhorpe RN. The position of the larynx in children and its relationship to the case of intubation . Anaesth Intensive Care . 1987;15:384-388. 3. Symington J. On the relations of the larynx and trachea to the vertebral column in the foetus and child . J Anat Physiol. 1885;19:286-291.
Archives of Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Jun 1, 1997
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