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Upper airway complications of junctional epidermolysis bullosa.
[junctional epidermolysis bullosa]
To
assess
the
incidence
of
upper
airway
pathology
in
patients
with
junctional
epidermolysis
bullosa
(
JEB
)
.
We
conducted
a
retrospective
chart
review
of
all
patients
with
JEB
who
came
to
an
interdisciplinary
epidermolysis
bullosa
center
at
a
tertiary
care
institution
between
2004
and
2010
.
Twenty
-
five
patients
with
JEB
were
identified
,
and
12
patients
were
seen
in
the
otolaryngology
clinic
(
age
range
,
2
months
-
15
years
;
8
male
,
4
female
)
.
Of
the
12
patients
,
8
underwent
rigid
laryngoscopy
and
bronchoscopy
for
upper
respiratory
tract
symptoms
;
7
of
these
patients
displayed
laryngeal
pathology
,
and
5
of
them
underwent
surgical
intervention
with
successful
resolution
of
symptoms
.
Furthermore
,
none
of
these
patients
had
any
short
-
or
long
-term
complications
from
their
surgery
.
A
strict
protocol
and
a
precise
problem-focused
cold
surgical
technique
were
used
in
these
cases
to
protect
skin
and
mucus
membranes
.
With
appropriate
precautions
,
endoscopic
laryngeal
surgery
can
be
safe
and
effective
in
patients
with
Â
JEB
and
larygnotracheal
disease
.
Endoscopic
laryngeal
surgery
is
feasible
when
indicated
for
these
patients
.
Diseases
Validation
Diseases presenting
"long-term complications"
symptom
aniridia
junctional epidermolysis bullosa
severe combined immunodeficiency
wolf-hirschhorn syndrome
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