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5. International Pediatric ORL Group (IPOG) Robin Sequence consensus recommendations

Author

Fayoux, Pierre, Daniel, Sam J., Allen, Gregory, Balakrishnan, Karthik, Boudewyns, An, Cheng, Alan, De Alarcon, Alessandro, Goel, Dimple, Hart, Catherine K., Leboulanger, Nicolas, Lee, Gi, Moreddu, Eric, Muntz, Harlan, Rahbar, Reza, Nicollas, Richard, Rogers-Vizena, Carolyn R., Russell, John, Rutter, Michael J., Smith, Richard J.H., Wyatt, Michelle, Zalzal, George, and Resnick, Cory M.

Published
2020
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12. International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts

Author

Yeung, Jeffrey C., Balakrishnan, Karthik, Cheng, Alan T.L., Daniel, Sam J., Garabedian, Eréa-Noël, Hart, Catherine K., Inglis, Andrew F., Jr., Leboulanger, Nicolas, Liming, Bryan J., Moreddu, Eric, Nicollas, Richard, Russell, John D., Rutter, Michael J., Sidell, Douglas R., Spratley, Jorge, Soma, Marlene, Thierry, Briac, Thompson, Dana M., Triglia, Jean-Michel, Watters, Karen, Wyatt, Michelle, Zalzal, George H., Zur, Karen B., and Rahbar, Reza

Published
2017
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18. Slide Tracheoplasty

Author

Richardson, Clare M., primary, Hart, Catherine K., additional, Johnson, Kaalan E., additional, and Gerber, Mark E., additional

Published
2022
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20. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Evaluation and management of congenital tracheal stenosis

Author

Sidell, Douglas R., primary, Meister, Kara D., additional, de Alarcon, Alessandro, additional, Boudewyns, An, additional, Brigger, Matthew, additional, Chun, Robert, additional, Fayoux, Pierre, additional, Goudy, Steven, additional, Hart, Catherine K., additional, Hewitt, Richard, additional, Hsu, Wei-Chung, additional, Javia, Luv R., additional, Johnson, Romaine F., additional, Messner, Anna H., additional, Moreddu, Eric, additional, Nicollas, Richard, additional, Prager, Jeremy D., additional, Rahbar, Reza, additional, Rickert, Scott, additional, Rossi, Marie-Eva, additional, Russell, John, additional, Rutter, Michael, additional, Sandu, Kishore, additional, Smith, Richard J.H., additional, Soma, Marlene, additional, Thierry, Briac, additional, Trozzi, Marilena, additional, White, David R., additional, and Balakrishnan, Karthik, additional

Published
2022
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27. Does the History of Tracheoesophageal Fistula Repair Alter Outcomes of Laryngeal Cleft Repair?

Author

Nebor, Ivanna, Katz Kadosh, Orna, Tabangin, Meredith E., Hart, Catherine K., Myer, Charles M., Smith, Matthew M., Meinzen-Derr, Jareen K., Rutter, Michael, and de Alarcón, Alessandro

Abstract

Objective: Tracheoesophageal fistula and esophageal atresia (TEA) and laryngeal cleft (LC) can coexist in some patients. The surgery‐specific success rate of LC repair in children with associated TEA has not been well described. The aim of the study is to determine if the history of TEA alters the LC repair outcomes. Study Design: Case series with chart review. Setting: Single‐institution academic medical center. Method: A retrospective review was conducted of patients with LC with and without TEA repair between January 2001 and November 2020. Data collected and analyzed included demographics and clinical characteristics, LC type, and LC with TEA timing of repairs. Results: An overall 282 patients met the inclusion criteria of LC repair: LC (n = 242, 85.8%) and LC + TEA (n = 40, 14.2%). Revision repair was required in 43 patients (15.2%) with 8 (2.8%) needing a second revision repair. The first LC revision rate in the LC group was 36/242 (14.9%) as compared with 7/40 (17.5%) in the LC + TEA group (P =.67). The second LC revision rate in the LC and LC + TEA groups was 7 (2.9%) and 1 (2.4%), respectively. The median time to revision was 5.1 months (interquartile range, 3.45–10.6) in the LC group as compared with 29.2 months (interquartile range, 4.8–44.2) in the LC + TEA group (P =.06). Conclusion: The incidence of TEA and LC was 14.2% in our study. Based on our findings, history of TEA repair is not associated with a higher revision rate vs LC alone. The history of TEA repair did not alter the outcomes of LC repair. [ABSTRACT FROM AUTHOR]

Published
2023
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33. Establishing an Endoscopic Chronic Subglottic Stenosis Rabbit Model.

Author

Kadosh, Orna K., Nebor, Ivanna, Smith, Matthew M., Hart, Catherine K., Tabangin, Meredith E., Burra, Kaulini, Kasten, Jennifer L., Sinner, Debora I., and de Alarcon, Alessandro

Abstract

Objectives/Hypothesis: To develop a reproducible and consistent chronic subglottic stenosis (SGS) in an endoscopic animal model. Study Design: Prospective study. Methods: We conducted a prospective study using New Zealand white rabbits. Chronic SGS was induced endoscopically by Bugbee electrocautery to 50% to 75% of the subglottic area's circumference, followed by 4‐hour endotracheal intubation. The rabbit airways were endoscopically assessed and sized with uncuffed endotracheal tubes (ETTs) before the injury, during follow‐up, and at the endpoints. There were four endpoints: 2, 4, 6, and 8 weeks post SGS induction. Animals were humanely euthanized for histopathological examination of the subglottic injury site and microscopic measurement of the cricoid lumen. Results: Twenty‐two rabbits reached the endpoints, and 18 rabbits developed chronic SGS. ETT size significantly decreased by 0.5 from preinjury to the endpoint in all groups, P <.001. Control median cricoid lumen measurements were 20.48 mm2, the median cricoid lumen measurement for the 2 weeks endpoint was 14.3 mm2, 4 weeks 11.69 mm2, 6 weeks 16.03 mm2, and 8 weeks endpoint median was 16.33 mm2. Histopathological examination showed chronic scar tissue and new cartilage formation at the cricoid level, mainly at the posterior subglottic injury site starting from 4 weeks postinjury. Collagen staining revealed substantial amounts of organized collagen and different collagen orientation starting 4 weeks postinjury lasting until 8 weeks postinjury. Conclusion: We developed an animal model to study chronic SGS. This model will be utilized to compare different endoscopic treatment interventions in acute SGS versus chronic SGS and further define the molecular basis of SGS. Level of Evidence: NA Laryngoscope, 132:1909–1915, 2022 [ABSTRACT FROM AUTHOR]

Published
2022
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38. Slide Tracheoplasty for Repair of Complex Tracheoesophageal Fistulas.

Author

Kennedy, Aimee A., Hart, Catherine K., de Alarcon, Alessandro, Putnam, Philip E., von Allmen, Daniel, Lehenbauer, David, Bryant, Roosevelt, Torres‐Silva, Cherie, and Rutter, Michael J.

Abstract

Objectives/Hypothesis: Repair of large, recurrent, and complex tracheoesophageal fistulas (TEFs) is challenging and numerous different surgical approaches exist. These various techniques each carry a set of risks and possible complications such as fistula recurrence, tracheal stenosis or pouches, esophageal stenosis, and recurrent laryngeal nerve injury. Slide tracheoplasty is a reconstructive technique successfully used in many different airway pathologies, including TEF repair. This study examines the success, limits, and complications related to slide tracheoplasty for repair of complex TEFs. Study Design: Retrospective chart review. Methods: Patients undergoing TEF repair using a cervical or thoracic approach slide tracheoplasty, at a single institution, between July 2008 and December 2019 were retrospectively reviewed. Demographic data, comorbidities, TEF etiology and surgical history, slide tracheoplasty details and outcomes, and postoperative complication data were examined using descriptive statistics. Results: Twenty‐six patients underwent 27 slide tracheoplasties for TEF (20 cervical approaches, 7 thoracic approaches) with a mean age of 5.2 years (IQR 0.7–7.6) at time of surgery. The most common TEF etiologies included congenital (n = 13), tracheostomy tube erosion (n = 5), and button battery ingestion (n = 4). Fistulas ranged in size from <0.5 mm to 4 cm and 59% had previous endoscopic or open repairs. There were two TEF recurrences (7.4%), one of which was successfully revised and the other which was treated with stent placement. Postoperative complications included dehiscence (3.7%), unilateral vocal fold paralysis (3.7%), and mild tracheal stenosis (18.5%). Conclusions: Slide tracheoplasty is an effective surgical technique for treating complex congenital and acquired TEFs with lower rates of complications when compared to other techniques. Level of Evidence: 4 Laryngoscope, 132:1542–1547, 2022 [ABSTRACT FROM AUTHOR]

Published
2022
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40. International Pediatric Otolaryngology Group (IPOG) management recommendations: Pediatric tracheostomy decannulation

Author

Kennedy, Aimee, primary, Hart, Catherine K., additional, de Alarcon, Alessandro, additional, Balakrishnan, Karthik, additional, Boudewyns, An, additional, Chun, Robert, additional, Fayoux, Pierre, additional, Goudy, Steven L., additional, Hartnick, Christopher, additional, Hsu, Wei-Chung, additional, Johnson, Romaine F., additional, Kuo, Michael, additional, Peer, Shazia, additional, Pransky, Seth M., additional, Rahbar, Reza, additional, Rickert, Scott, additional, Roy, Soham, additional, Russell, John, additional, Sandu, Kishore, additional, Sidell, Douglas R., additional, Smith, Richard J., additional, Soma, Marlene, additional, Spratley, Jorge, additional, Thierry, Briac, additional, Thompson, Dana M., additional, Trozzi, Marilena, additional, Watters, Karen, additional, White, David R., additional, Wyatt, Michelle, additional, Zalzal, George H., additional, Zdanksi, Carlton J., additional, Zur, Karen B., additional, and Rutter, Michael J., additional

Published
2021
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41. Quantitative Evaluation of Subglottic Stenosis Using Ultrashort Echo Time MRI in a Rabbit Model

Author

Gandhi, Deep B., primary, Rice, Andrew, additional, Gunatilaka, Chamindu C., additional, Higano, Nara S., additional, Fleck, Robert J., additional, de Alarcon, Alessandro, additional, Hart, Catherine K., additional, Kuo, I‐Chun, additional, Amin, Raouf S., additional, Woods, Jason C., additional, Hysinger, Erik B., additional, and Bates, Alister J., additional

Published
2021
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42. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Management of suprastomal collapse in the pediatric population

Author

Doody, Jaime, primary, Alkhateeb, Ahmed, additional, Balakrishnan, Karthik, additional, Bedwell, Joshua, additional, Carter, John, additional, Choi, Sukgi S., additional, Cheng, Alan T., additional, Daniel, Sam J., additional, Dahl, John, additional, De Alarcon, Alessandro, additional, Fayoux, Pierre, additional, Hart, Catherine K., additional, Hartnick, Christopher, additional, Jonas, Nico, additional, Kuo, Michael, additional, Mills, Nikki, additional, Muntz, Harlan, additional, Nicollas, Richard, additional, Pransky, Seth, additional, Nuss, Roger, additional, Propst, Evan J., additional, Rahbar, Reza, additional, Rossi, Marie-Eva, additional, Rutter, Michael J., additional, Sandu, Kishore, additional, Sidell, Douglas R., additional, Sittel, Christian, additional, Smith, Richard J.H., additional, Soma, Marlene, additional, Spratley, Jorge, additional, Thierry, Briac, additional, Thompson, Dana, additional, Watters, Karen, additional, Wine, Todd, additional, Wyatt, Michelle, additional, Zalzal, George, additional, Zdanski, Carlton J., additional, Zur, Karen B., additional, and Russell, John, additional

Published
2020
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44. Surgical Treatment of Type III Laryngotracheoesophageal Clefts: Techniques and Outcomes.

Author

Kou, Yann‐Fuu, Redmann, Andrew, Smith, Matthew M., Hart, Catherine K., Rutter, Michael J., and de Alarcon, Alessandro

Abstract

Objectives/Hypothesis: Determine surgical and swallowing outcomes after surgery for type III laryngotracheoesophageal cleft (LTEC). Study Design: Case series with chart review. Methods: Chart review was performed on patients with type III LTEC between 2000 and 2019. Demographics, surgical outcomes, and swallowing outcomes were collected and analyzed. Results: Thirty‐three patients met inclusion criteria (28 open and 5 endoscopic repairs). Mean age was 3.4 years for the open group and 0.9 years for the endoscopic group. Seventeen (51.5%) patients had a syndromic diagnosis, most commonly Opitz syndrome and Trisomy 21. Mean follow‐up was 33.6 months. Thirteen (39.4%) patients had a previous repair attempt prior to repair at our institution. Twenty‐four (70.6%) patients had a tracheostomy prior to or at the time of surgical repair and 13 (38.2%) remain tracheostomy‐dependent. Nine patients (27.3%) required a revision cleft repair and four (12.1%) required two revisions. Thirty‐one patients had an intact repair at last follow‐up (93.9). Two patients died outside the hospital over a year after surgery. Preoperatively 13 of 17 patients with swallowing evaluations aspirated. After repair, 11 of 20 patients were deemed safe for all consistencies and seven were safe for thickened. Endoscopic approaches were performed during the last 2 years of the study and had significantly lower operative time (354.4 minutes vs. 171.5 minutes). Conclusions: Endoscopic and open approaches are effective for treatment of type III LTEC with 27.3% requiring revision and 93.9% of repairs intact at last follow‐up. Overall swallowing outcomes were good in patients who underwent postoperative instrumental swallow evaluation. Level of Evidence: 4 Laryngoscope, 132:1112–1117, 2022 [ABSTRACT FROM AUTHOR]

Published
2022
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46. Competency‐Based Assessment Tool for Pediatric Esophagoscopy: International Modified Delphi Consensus

Author

Faucett, Erynne A., primary, Wolter, Nikolaus E., additional, Balakrishnan, Karthik, additional, Ishman, Stacey L., additional, Mehta, Deepak, additional, Parikh, Sanjay, additional, Nguyen, Lily H. P., additional, Preciado, Diego, additional, Rutter, Michael J., additional, Prager, Jeremy D., additional, Green, Glenn E., additional, Pransky, Seth M., additional, Elluru, Ravi, additional, Husein, Murad, additional, Roy, Soham, additional, Johnson, Kaalan E., additional, Friedberg, Jacob, additional, Johnson, Romaine F., additional, Bauman, Nancy M., additional, Myer, Charles M., additional, Deutsch, Ellen S., additional, Gantwerker, Eric A., additional, Willging, J. Paul, additional, Hart, Catherine K., additional, Chun, Robert H., additional, Lam, Derek J., additional, Ida, Jonathan B., additional, Manoukian, John J., additional, White, David R., additional, Sidell, Douglas R., additional, Wootten, Christopher T., additional, Inglis, Andrew F., additional, Derkay, Craig S., additional, Zalzal, George, additional, Molter, David W., additional, Ludemann, Jeffrey P., additional, Choi, Sukgi, additional, Schraff, Scott, additional, Cotton, Robin T., additional, Vijayasekaran, Shyan, additional, Zdanski, Carlton J., additional, El‐Hakim, Hamdy, additional, Shah, Udayan K., additional, Soma, Marlene A., additional, Smith, Marshall E., additional, Thompson, Dana M., additional, Javia, Luv Ram, additional, Zur, Karen B., additional, Sobol, Steven E., additional, Hartnick, Christopher J., additional, Rahbar, Reza, additional, Vaccani, Jean‐Philippe, additional, Hartley, Benjamin, additional, Daniel, Sam J., additional, Jacobs, Ian N., additional, Richter, Gresham T., additional, Alarcon, Alessandro, additional, Bromwich, Matthew A., additional, and Propst, Evan J., additional

Published
2020
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47. Management of the Disrupted Airway in Children

Author

Hsu, Wei‐Chung, primary, Schweiger, Claudia, additional, Hart, Catherine K., additional, Smith, Matthew, additional, Varela, Patricio, additional, Gutierrez, Carlos, additional, Ormaechea, Martin, additional, Cohen, Aliza P., additional, and Rutter, Michael J., additional

Published
2020
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