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Pediatric Otolaryngology

Pediatric Inducible Laryngeal Obstruction: Diagnosis, Treatment, and Hands-On Simulation

Tuesday, October 3, 2023
9:15 AM - 10:15 AM East Coast USA Time
Location: Legands ABC

    Instructors(s)

  • Kaalan E. Johnson, MD

    Associate Professor, University of Washington
    Seattle Children's Hospital
    Seattle, WA, United States

    • Lead Instructor(s)

  • Clare M. Richardson, MD

    Assistant Professor
    Phoenix Children's Hospital
    Phoenix, AZ, United States

    • Instructors(s)

  • JO

    Julina Ongkasuwan, MD

    Professor
    Baylor College of Medicine
    Houston, TX, United States

  • Pamela A. Mudd, MD, MBA

    Pediatric Otolaryngology, Director of Pediatric Voice Program, Surgical Director Thyroid nodule and cancer program
    Children's National Hospital
    Washington, DC, United States

Disclosure(s):
Clare M. Richardson, MD: No relevant relationships to disclose.
Pamela A. Mudd, MD, MBA: No relevant relationships to disclose.
PROGRAM DESCRIPTION: This session will review the current techniques for diagnosis and management of pediatric patients with inducible laryngeal obstruction (ILO), split into both an informational panel session and simulation session component. The goals of this session are to review the basic pathology of ILO, further participants understanding of ILO by introducing them to lesser-known diagnostic and treatment options, and provide hands-on practice with the set up for continuous laryngoscopy during exercise (CLE). Panelists will be composed of multi-institutional pediatric otolaryngologists who regularly treat patients with ILO in their practice.

We will start with a review of the pathophysiology of ILO, then will focus on contemporary topics including behavioral and psychiatric considerations, voice implications, continuous laryngoscopy, and patient-reported outcomes. The discussion on continuous laryngoscopy will include institutional experience of implementation of a clinic specifically for diagnosis of pediatric patients with exercised induced laryngeal obstruction (EILO). It will also touch on different techniques for performing CLE, such as use of commercially available and 3-dimesional printed scope holders. Following the panel presentation, approximately fifteen minutes will be dedicated to hands-on experience for participants, where they will set up and perform simulated CLE on mannequins.

OUTCOME OBJECTIVE 1: Familiarize participants with the multi-disciplinary, multi-modality work-up and treatment of pediatric patients with inducible laryngeal obstruction.

OUTCOME OBJECTIVE 2: Illustrate the multidimensional impact of inducible laryngeal obstruction on the pediatric patient, which includes physical, behavioral, social, and quality of life components.

OUTCOME OBJECTIVE 3: Provide hands-on simulation to allow participants to practice continuous laryngoscopy for exercise induced laryngeal obstruction.

BACKGROUND STATEMENT: Need for more disseminated knowledge of the pathology, work-up, and treatment of inducible laryngeal obstruction in pediatric patients

Need for demonstration of continuous laryngoscopy during exercise techniques