we done bronchoscopy of riyansh

Question

Accepted Answer

Based on the results of your baby’s transnasal bronchoscopy, here's a breakdown of the findings and the recommended steps:

### **1. **Findings**
   - **Bilateral Abductor Palsy**: This means that the muscles responsible for moving the vocal cords apart (abductors) are not functioning properly, which can affect breathing and voice.
   - **No Laryngeal Cleft**: There is no abnormal opening between the larynx and the throat, which is a positive finding.
   - **Normal Lower Respiratory Tract with Aspiration**: The lower respiratory tract is normal, but there may be some aspiration issues where food or liquids enter the airway.

### **2. **Recommended Management**
   - **Anti-Reflux Treatment**: This is often prescribed to manage acid reflux, which can contribute to aspiration and feeding difficulties. Follow your pediatrician’s instructions on the medication and dietary adjustments.
   - **Review After 2 Weeks**: Schedule a follow-up appointment with your pediatrician or a specialist to monitor progress and reassess the condition.

### **3. **Additional Steps**
   - **Feeding Adjustments**: Work with a feeding specialist to address feeding difficulties. They can suggest feeding techniques or modifications to reduce aspiration risks.
   - **Speech and Swallowing Therapy**: If recommended, speech and swallowing therapy can help with issues related to voice and swallowing.
   - **Regular Monitoring**: Keep track of your baby’s breathing, feeding, and overall health. Report any changes or concerns to your healthcare provider.

### **4. **Precautions**
   - **Avoid Aspiration**: Be cautious with feeding to minimize the risk of aspiration. Use thickened liquids or special feeding techniques if suggested by your healthcare provider.
   - **Monitor Symptoms**: Watch for any signs of respiratory distress or changes in feeding patterns and seek medical advice if necessary.

Regular follow-up and adherence to the treatment plan are crucial for managing the conditions identified in the bronchoscopy and supporting your baby’s health and development.