ArticleBMC anesthesiology2026
Combined ultrasound localization and bronchoscopic-guided percutaneous dilatational tracheostomy in a child with pharyngolaryngeal venous malformation: a case report.
Article in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPharyngolaryngeal venous malformations in children are rare congenital lesions that can cause severe supraglottic narrowing and pose significant challenges for airway management during anesthesia. When conventional intubation is unsafe or infeasible, alternative strategies are required to establish a secure airway and facilitate repeated interventions. CASE PRESENTATION: We report a 6-year-old girl with an extensive pharyngolaryngeal venous malformation causing marked upper-airway obstruction and requiring multiple sessions of sclerotherapy. Preoperative evaluation revealed severe supraglottic narrowing that limited visualization of the glottic structures. To ensure a safe and stable airway, a combined approach using ultrasound localization and bronchoscopic-guided percutaneous dilatational tracheostomy (PDT) was selected. Under general anesthesia with preserved spontaneous ventilation through a laryngeal mask airway, ultrasound was used to identify the tracheal anatomy and determine an optimal puncture site. Bronchoscopic guidance enabled continuous airway visualization during puncture, dilation, and tube placement. After successful PDT, the patient safely underwent four sessions of image-guided sclerotherapy over four months. No airway-related complications, tracheostomy tube intolerance, or perioperative adverse events were observed. The patient was successfully decannulated and demonstrated complete airway recovery at follow-up.
conclusionsThis case illustrates that combining ultrasound localization with bronchoscopic guidance may offer a feasible, minimally invasive approach to establishing a stable airway in children with complex supraglottic obstruction. In this patient, the technique enabled repeated sclerotherapy sessions while maintaining ventilation stability and minimizing airway trauma. It may be considered as a potential option in carefully selected older children with immediate surgical backup when conventional airway techniques are limited by severe supraglottic distortion.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.