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CompletedNCT02975830Updated Jan 4, 2017

Tracheobronchial Angle in Children - Three-dimensional Computed Tomography Based Measurements

An observational study in Bronchus and Pediatric Airway, sponsored by King Fahad Medical City. Completed. Open to participants aged Up to 8 Years. Per ClinicalTrials.gov, last updated 2017-01-04.

Sponsored by King Fahad Medical City · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
270
Ages
Up to 8 Years
Sex
All
01

Study summary

Accurate understanding of tracheobronchial anatomy is important for application of various airway maneuvers in anesthesiology in children. Majority of pediatric anesthesia textbooks state that the anatomic orientation of the right main bronchus is at less acute angle to the vertical tracheal axis, although these angles tend to be similar in children younger than three years of ageThe visualization of the air column in tracheobronchial tree in a three-dimensional (3D) CT-based image is clear with the air column simulating the actual internal shape of the airway.

We hypothesize that RBA and LBA are unequal as children like adults are prone to right mainstem intubation We have measured the right and left bronchial angle using the three dimensional CT based images of the air column in the tracheobronchial tree.

Read the detailed description

Accurate understanding of tracheobronchial anatomy is important for application of various airway maneuvers in anesthesiology in children.

Significant variations and discrepancies in the reported tracheobronchial angles are found in literature.

Various imaging modalities ranging from chest x-ray to helical computed tomography (CT) have been used for measuring the tracheobronchial angles in children and the results are varied with some studies reporting equal angles [2016] while others reporting right bronchial angle to be smaller than left bronchial angle [Kubota].

The visualization of the air column in tracheobronchial tree in a three-dimensional (3D) CT-based image is clear with the air column simulating the actual internal shape of the airway. The highest quality medical-grade (3D) images are obtained using CT data [Uchida M]. Computed tomography (CT) is considered the current gold standard for airway measurements as the air-tissue interface is better delineated by CT imaging [Reinhardt].

We hypothesize that RBA and LBA are unequal as children like adults are prone to right mainstem intubation We have measured the right and left bronchial angle using the three dimensional CT based images of the air column in the tracheobronchial tree.

02

Conditions studied

  • Bronchus
  • Pediatric Airway
03

In context

Lead sponsor

King Fahad Medical City is the lead sponsor of 22 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 8 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

upto 8years of age

Inclusion criteria

  • CT scans airways

Exclusion criteria

Exclusion Criteria:

  • any disease that is anticipated to distort the normal shape of airways wee excluded from the study
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
270 participants (actual)
Patient registry
No

Groups and cohorts

  • 0-2 years

    Children aged from birth to 24 months Three dimensional CT based images

    Radiation: Three dimensional CT based images

  • 2-4 Years

    Children aged from 25-48 months Three dimensional CT based images

    Radiation: Three dimensional CT based images

  • 4-6 Years

    Children aged from 49-72 Three dimensional CT based images

    Radiation: Three dimensional CT based images

  • 6-8 years

    Children aged from 73-96 months Three dimensional CT based images

    Radiation: Three dimensional CT based images

Interventions

  • RadiationThree dimensional CT based images

    Right bronchial angle, left bronchial angle

06

What researchers measure

Primary outcomes

  1. tracheobronchial angles

    Time frame: 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 4, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02975830
Lead sponsor
King Fahad Medical City
Responsible party
Tariq Wani (Consultant Anesthesiologist, King Fahad Medical City) — Principal investigator
First posted
Nov 29, 2016
Start date
Mar 2016
Primary completion
Dec 2016
Completion
Dec 2016
Last update
Jan 4, 2017

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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