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Subglottic stenosis: A ten‐year review of treatment outcomes
- Source :
- The Laryngoscope. 124:736-741
- Publication Year :
- 2013
- Publisher :
- Wiley, 2013.
-
Abstract
- Objectives/Hypothesis To evaluate the endoscopic surgical management of adult subglottic stenosis and describe treatment outcomes. Study Design Retrospective review. Methods Ten-year review of adult patients with subglottic stenosis. Results Ninety-two adults (23 male, 69 female) with subglottic stenosis underwent 247 endoscopic dilations between 2001 and 2010. The mean age was 48 years at time of first surgery. Etiology was GPA (granulomatosis with polyangiitis, formerly Wegener's granulomatosis) (45%), intubation (25%), or idiopathic (33%). Forty-one patients (45%) underwent a single procedure; 51 patients (55%) required multiple surgeries. The average interval for patients requiring a subsequent procedure was 13.7 months. Variations in surgical technique did not show differences in time to next procedure, and the use of mitomycin-C did not result in longer intervals between procedures. No significant complications were encountered after dilation. Conclusions Subglottic stenosis remains a treatment challenge. Although patients are often symptomatically improved after endoscopic dilation, recurrence rates remain high. Level of Evidence 4. Laryngoscope, 124:736–741, 2014
- Subjects :
- Adult
Male
Reoperation
Glottis
medicine.medical_specialty
Time Factors
Administration, Topical
Mitomycin
medicine.medical_treatment
Subglottic stenosis
Treatment outcome
Risk Assessment
Severity of Illness Index
Cohort Studies
Recurrence
medicine
Humans
Minimally Invasive Surgical Procedures
Intubation
Subglottis
Aged
Retrospective Studies
Endoscopic dilation
Laryngoscopy
Adult patients
business.industry
Laryngostenosis
Middle Aged
medicine.disease
Dilatation
Surgery
Treatment Outcome
Otorhinolaryngology
Etiology
Female
Granulomatosis with polyangiitis
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15314995 and 0023852X
- Volume :
- 124
- Database :
- OpenAIRE
- Journal :
- The Laryngoscope
- Accession number :
- edsair.doi.dedup.....eced424c720b628348221f9505cc5f6b