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The Pediatric Aerodigestive Center as a Tertiary Care-Based Medical Home: A Proposed Model
Children with special healthcare needs have been identified nationally as a population whose health care is associated with unmet needs; increased morbidity; fragmentation of care and medical errors; caregiver dissatisfaction; and disproportionately high costs. A subset of these children are medically fragile, with medical complexity that requires a reliance on tertiary care-based services —including subspecialty appointments, surgical procedures, and care coordination resources. For medically complex patients affected by upper and lower respiratory tract and gastrointestinal disorders, multidisciplinary aerodigestive ce...
Source: Current Problems in Pediatric and Adolescent Health Care - April 12, 2018 Category: Pediatrics Authors: Meghan M. Galligan, Tara W. Bamat, Annique K. Hogan, Joseph Piccione Source Type: research

Vocal Fold Motion Impairment
This article reviews the workup, management options and clinical outcomes of unilateral and bilateral vocal fold motion impairment in the pediatric population. (Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - April 10, 2018 Category: Pediatrics Authors: Karen B. Zur Source Type: research

Foreword: Aerodigestive Disorders: Part II
In Part I of the review of Aerodigestive Disorders,1 the interrelatedness of the gastrointestinal tract and the pulmonary system, the pathophysiology, and management options for children with complex medical conditions is discussed. In Part II, the authors continue to make the case that the creation of a medical home, which encompasses a multidisciplinary coordinated approach to care, is required. Thoughtful, coordinated care by otolaryngologist, pulmonologist, gastroenterologists, neurologist, speech therapy, amongst others, will provide the highest quality of care. (Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - April 9, 2018 Category: Pediatrics Authors: Louis M. Bell Source Type: research

Laryngomalacia, Tracheomalacia and Bronchomalacia
Airway malacia can occur in the larynx (larygomalacia), trachea (tracheomalacia), or bronchi (bronchomalacia). As a group these are the most common congenital abnormalities of the pediatric airway and are characterized by increased airway compliance, resulting in excessive dynamic collapse during the respiratory cycle. While a diagnosis can be suspected based on clinical history and physical examination, definitive evaluation is based of nasopharyngolaryngoscopy and/or bronchoscopy. Observation and conservative management are typically all that are required. (Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - April 3, 2018 Category: Pediatrics Authors: Erik B. Hysinger Source Type: research

Subglottic Stenosis
Subglottic stenosis refers to narrowing of the airway diameter below the vocal folds and may be congenital or acquired. Typical signs and symptoms range from recurrent croup and exertional stridor to complete airflow obstruction requiring tracheotomy. Management of moderate and severe subglottic stenosis often requires intricate surgical techniques. To optimize the success of these surgeries, a thorough assessment of the child ’s airway, lungs, reflux, and swallow needs to be evaluated. In order to provide concerted and coordinated care between typically otolaryngology (ENT), pulmonary, gastroenterology (GI), speech, swa...
Source: Current Problems in Pediatric and Adolescent Health Care - April 1, 2018 Category: Pediatrics Authors: Katherine Hanlon, R. Paul Boesch, Ian Jacobs Source Type: research

Title Page
(Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - April 1, 2018 Category: Pediatrics Source Type: research

Table of Contents
(Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - April 1, 2018 Category: Pediatrics Source Type: research

Bronchiectasis, Chronic Suppurative Lung Disease and Protracted Bacterial Bronchitis
Bronchiectasis is a structural airway disease characterized by dilated bronchi and bronchioles due to severe or recurrent lower airways inflammation. Bronchiectasis can occur as a result of chronic pulmonary aspiration. Bronchiectasis may also be associated with a wide variety of systemic diseases, which should be considered in the differential diagnosis. Children with bronchiectasis typically have a chronic or recurrent productive cough and carry a significant burden of disease with a considerable impact on quality of life. (Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - March 27, 2018 Category: Pediatrics Authors: Dan T. Benscoter Source Type: research

The Role of the Medical Social Worker in a Pediatric Aero-Digestive Program
Families experience many psycho-social challenges when caring for a child with a tracheostomy in the home. The support of a Medical Social Worker in a Pediatric Aero-digestive Program is vitally important to help families navigate the multiple systems required to help manage the needs of medically complex child. The Medical Social Worker should strive to partner with families to provide resources and coordinate care to enhance coping and improve overall patient care and well-being. (Source: Current Problems in Pediatric and Adolescent Health Care)
Source: Current Problems in Pediatric and Adolescent Health Care - March 19, 2018 Category: Pediatrics Authors: Amanda Fonash Source Type: research