Suction is used to clear retained or excessive lower respiratory tract secretions in patients who are unable to do so effectively for themselves. This could be due to the presence of an artificial airway, such as an endotracheal or tracheostomy tube, or in patients who have a poor cough due to a variety of reasons such as excessive sedation or neurological involvement.
The subglottis is just below the vocal cords at the bottom of the voice box (larynx). It is the narrowest part of a child’s airway. Subglottic stenosis is a narrowing of the subglottic airway. Doctors do not know how many children are affected by subglottic stenosis, but we see around 200 children with the condition each year at Great Ormond Street Hospital (GOSH).
The vocal cords, also known as vocal folds, sit at the top of the windpipe (trachea). They are two folds of tissue stretched across the voice box (larynx). They vibrate, adjusting the flow of air from the lungs, to produce speech sounds. Vocal cord paralysis is the term used when there is weakness in one or both vocal folds stopping them moving as they should.
This information sheet from Great Ormond Street Hospital (GOSH) explains about generalised severe junctional epidermolysis bullosa (previously called Herlitz junctional EB) and how it can be managed. It also contains suggestions for making everyday life more comfortable and contact details for further information and support.
Richard Hewitt is a Paediatric Otolaryngologist Ear Nose and Throat (ENT), Head & Neck and Tracheal Consultant. He is the Director of the National Service for Severe Tracheal Disease and The Great Ormond Street "Tracheal Team" and the Co-Director of the Great Ormond Street Hospital & University College Hospital Foetal Airway Service.
Richard is committed to the safe, effective and efficient care of children and was awarded the Great Ormond Street Hospital "Best Surgical Consultant Award" in March 2017
The Ophthalmology team at Great Ormond Street Hospital (GOSH) helped develop the Royal College of Ophthalmologists' (RCOphth) overarching quality standards that describe five key aspects of the ophthalmic care and service for children and young people.