QUAD #23: CHARGE Syndrome, Airway Considerations with Dr. Catherine Hart

In this video, Dr. Catherine Hart, ENT surgeon at Cincinnati Children’s, discusses the unique airway and aspiration challenges faced by children with CHARGE syndrome. From structural abnormalities like anteriorly positioned arytenoids to feeding difficulties due to cranial nerve impairments, Dr. Hart explores the multidisciplinary approaches required to provide optimal care.

Host: Em Gootee, MD

Key Highlights:

CHARGE Larynx Features: Structural differences leading to upper airway obstruction, foreshortened vocal folds, and difficult intubation.

Feeding Challenges: Aspiration risks due to absent cough reflex, high rates of reflux, and swallowing dysfunction in over 60% of CHARGE patients.

Medical and Surgical Management: Options including Robinul, Botox, duct ligation, submandibular gland excision, and tympanic neurectomy to reduce aspiration risks.

Tracheotomy and Beyond: When tracheotomy or laryngotracheal separation becomes necessary for severe cases with chronic lung impact.

Learn how the team at Cincinnati Children’s combines innovative treatments and surgical expertise to improve the quality of life for children with CHARGE syndrome. Don’t forget to like, comment, and subscribe for more expert insights!

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