Researchers Assess Bronchiectasis in LTE Clefts
The Lawrence R. Boies MD, Resident Research Award went to researchers at the University of Cincinnati who studied the rates of bronchiectasis on CT, and its relationship to swallowing dysfunction, measured by video swallowing study or endoscopic exam, among patients with laryngotracheoesophageal (LTE) clefts.
The investigators conducted a retrospective chart review of children who underwent repair for LTE clefts between 2000 and 2013, with 91 patients included. Those with a deep notch, Type I, or Type II clefts were considered low-grade clefts, and Type III clefts were considered high-grade.
In findings presented by resident David Lee, MD, the study concluded that 32% of patients had bronchiectasis and 63% demonstrated aspiration or penetration, with no significant differences in rates of either bronchiectasis or aspiration/penetration for those with low-grade versus high-grade clefts. “Both CT findings and swallowing studies are important to evaluate aspiration in LTE cleft patients,” they said.