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A 10-year-old girl was seen in the multidisciplinary Airway, Voice, and Swallowing Center for Children at the Massachusetts Eye and Ear Infirmary, associated with this hospital, because of dyspnea and noisy respirations.
Approximately 3 weeks earlier, a sharp pain in her chest had developed, associated with shortness of breath, while she was walking home from school, a distance of a quarter to a half mile. Thereafter, she had dyspnea with exertion. Her respirations became audible on both inspiration and expiration during exercise but were normal at rest and during sleep.
Two weeks before this evaluation, her pediatrician found that her
Differential Diagnosis
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Discussion of Management
Surgical Management
Anatomical Diagnosis
Source Information
From the Pediatric Pulmonary Unit (K.E.H.) and the Departments of Pediatric Surgery (D.P.R.), Radiology (R.S.), and Pathology (E.J.M.), Massachusetts General Hospital; Pediatric Otolaryngology, Massachusetts Eye and Ear Infirmary (C.J.H.); and the Departments of Pediatrics (K.E.H.), Otology and Laryngology (C.J.H.), Surgery (D.P.R.), Radiology (R.S.), and Pathology (E.J.M.), Harvard Medical School.
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