PEDIATRICS Vol. 81 No. 5 May 1988, pp. 714-717
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Psychogenic Upper Airway Obstruction

NIRANJAN KISSOON MB, BS, FRCP(C)1, JONATHAN B. KRONICK MD, PHD, FRCP(C)1, and TIMOTHY C. FREWEN MD, FRCP(C)1

1 Department of Paediatrics, University of Western Ontario, Children's Hospital of Western Ontario, London, Ontario, Canada

Upper airway obstruction is uncommon in previously well adolescents and adults. Whereas it is well recognized that psychogenic and emotional factors can trigger asthma,1 the role played by psychogenic and emotional factors in upper airway obstruction is less well reported.2,3 Congenital and neoplastic lesions of the face, larynx, and trachea should be considered in the infant with airway obstruction.3,4 Both congenital and acquired lesions (infections, traumatic, neurogenic, and neoplastic) are common causes of obstruction in older infants and children.3 In the adolescent population, acquired airway obstruction may occur; however, psychogenic obstruction should also be considered in selected patients.

Submitted on April 7, 1987
Accepted on July 20, 1987




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