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- Title
Severe acquired subglottic stenosis in children: analysis of clinical features and surgical outcomes based on the range of stenosis.
- Authors
Morita, Keiichi; Yokoi, Akiko; Bitoh, Yuko; Fukuzawa, Hiroaki; Okata, Yuichi; Iwade, Tamaki; Endo, Kosuke; Takemoto, Junkichi; Tamaki, Akihiko; Maeda, Kosaku
- Abstract
<bold>Purpose: </bold>The present study analyzed the clinical features and surgical outcomes of laryngotracheal reconstruction (LTR) in pediatric patients with severe acquired subglottic stenosis (SGS) based on the range of stenosis. The aim was to clarify the indications for LTR in severe acquired SGS.<bold>Methods: </bold>The medical records of 33 pediatric patients with severe acquired SGS (Myer-Cotton grade III or IV) at our institution between January 1994 and December 2013 were retrospectively reviewed.<bold>Results: </bold>Nine patients had stenosis localized at the subglottis (localized SGS), and twenty-four patients had stenosis extending to the glottis or supraglottis from the subglottis (extended SGS). 66.7 % (6/9) of localized SGS patients were intubated after infancy, and 95.8 % (22/23) of extended SGS patients were intubated in the neonatal period. The duration of intubation was significantly shorter with localized than with extended SGS. Sixteen patients underwent LTR. The operation-specific decannulation rate was 80.0 % (4/5) in the localized SGS group and 14.3 % (1/7) in the extended SGS group.<bold>Conclusion: </bold>The range of stenosis was affected by the period and duration of endotracheal intubation. Surgical outcomes of LTR tended to differ between localized SGS and extended SGS. LTR can be effective for localized SGS.
- Subjects
STENOSIS; JUVENILE diseases; PEDIATRIC surgery; HEALTH outcome assessment; MEDICAL records; RETROSPECTIVE studies; THERAPEUTICS; LARYNGEAL surgery; LARYNGEAL diseases; TREATMENT effectiveness; SEVERITY of illness index
- Publication
Pediatric Surgery International, 2015, Vol 31, Issue 10, p943
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-015-3773-1