Development and Disorders of the Airway in Bronchopulmonary Dysplasia

Bronchopulmonary dysplasia (BPD), a disorder characterized by arrested lung development, is a frequent cause of morbidity and mortality in premature infants. Parenchymal lung changes in BPD are relatively well-characterized and highly studied; however, there has been less emphasis placed on the role...

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Main Authors: Douglas Bush, Courtney Juliano, Selina Bowler, Caterina Tiozzo
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/7/1127
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author Douglas Bush
Courtney Juliano
Selina Bowler
Caterina Tiozzo
author_facet Douglas Bush
Courtney Juliano
Selina Bowler
Caterina Tiozzo
author_sort Douglas Bush
collection DOAJ
description Bronchopulmonary dysplasia (BPD), a disorder characterized by arrested lung development, is a frequent cause of morbidity and mortality in premature infants. Parenchymal lung changes in BPD are relatively well-characterized and highly studied; however, there has been less emphasis placed on the role that airways disease plays in the pathophysiology of BPD. In preterm infants born between 22 and 32 weeks gestation, the conducting airways are fully formed but still immature and therefore susceptible to injury and further disruption of development. The arrest of maturation results in more compliant airways that are more susceptible to deformation and damage. Consequently, neonates with BPD are prone to developing airway pathology, particularly for patients who require intubation and positive-pressure ventilation. Airway pathology, which can be divided into large and small airways disease, results in increased respiratory morbidity in neonates with chronic lung disease of prematurity.
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spelling doaj.art-b5db87ad7e6c4758b4b150478c5466632023-11-18T18:48:34ZengMDPI AGChildren2227-90672023-06-01107112710.3390/children10071127Development and Disorders of the Airway in Bronchopulmonary DysplasiaDouglas Bush0Courtney Juliano1Selina Bowler2Caterina Tiozzo3Division of Pediatric Pulmonology, Department of Pediatrics, Mount Sinai Hospital, Icahn School of Medicine, New York, NY 10029, USADivision of Neonatology, Department of Pediatrics, Mount Sinai Hospital, Icahn School of Medicine, New York, NY 10029, USADepartment of Pediatrics, New York University Langone-Long Island, Mineola, NY 11501, USADivision of Neonatology, Department of Pediatrics, Mount Sinai Hospital, Icahn School of Medicine, New York, NY 10029, USABronchopulmonary dysplasia (BPD), a disorder characterized by arrested lung development, is a frequent cause of morbidity and mortality in premature infants. Parenchymal lung changes in BPD are relatively well-characterized and highly studied; however, there has been less emphasis placed on the role that airways disease plays in the pathophysiology of BPD. In preterm infants born between 22 and 32 weeks gestation, the conducting airways are fully formed but still immature and therefore susceptible to injury and further disruption of development. The arrest of maturation results in more compliant airways that are more susceptible to deformation and damage. Consequently, neonates with BPD are prone to developing airway pathology, particularly for patients who require intubation and positive-pressure ventilation. Airway pathology, which can be divided into large and small airways disease, results in increased respiratory morbidity in neonates with chronic lung disease of prematurity.https://www.mdpi.com/2227-9067/10/7/1127bronchopulmonary dysplasiaairway developmentairway disorders
spellingShingle Douglas Bush
Courtney Juliano
Selina Bowler
Caterina Tiozzo
Development and Disorders of the Airway in Bronchopulmonary Dysplasia
Children
bronchopulmonary dysplasia
airway development
airway disorders
title Development and Disorders of the Airway in Bronchopulmonary Dysplasia
title_full Development and Disorders of the Airway in Bronchopulmonary Dysplasia
title_fullStr Development and Disorders of the Airway in Bronchopulmonary Dysplasia
title_full_unstemmed Development and Disorders of the Airway in Bronchopulmonary Dysplasia
title_short Development and Disorders of the Airway in Bronchopulmonary Dysplasia
title_sort development and disorders of the airway in bronchopulmonary dysplasia
topic bronchopulmonary dysplasia
airway development
airway disorders
url https://www.mdpi.com/2227-9067/10/7/1127
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