Endoscopic management of subglottic stenosis

Sivi Bakthavachalam, John E. McClay

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objectives: Determine the effectiveness of endoscopic surgical treatment of subglottic stenosis (SGS) in children as a primary surgical modality to prevent laryngotracheal reconstruction (LTR) and as treatment for restenosis following primary LTR to prevent revision LTR. Patients: Children undergoing various endoscopic surgical treatments from 1989 to 2006 for SGS. Results: The number of children and success rates per grade of SGS and the number of procedures required to produce a successful result in 29 children initially managed endoscopically included grade I, three of three (100%), 1.3 procedures; grade II, eight of nine (88%), 2.6 procedures; and grade III, 13 of 17 (76%), 3.5 procedures. Of 102 patients undergoing open LTR, 56 of 102 required endoscopic interventions and 41 of 56 (73%) children were treated successfully. Conclusion: Endoscopic intervention can be used to manage SGS either as a primary intervention or to treat reobstruction and restenosis following an open reconstructive procedure. Success rates decline as the severity of stenosis increases.

Original languageEnglish (US)
Pages (from-to)551-559
Number of pages9
JournalOtolaryngology - Head and Neck Surgery
Volume139
Issue number4
DOIs
StatePublished - Oct 2008

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Pathologic Constriction
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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Endoscopic management of subglottic stenosis. / Bakthavachalam, Sivi; McClay, John E.

In: Otolaryngology - Head and Neck Surgery, Vol. 139, No. 4, 10.2008, p. 551-559.

Research output: Contribution to journalArticle

Bakthavachalam, Sivi ; McClay, John E. / Endoscopic management of subglottic stenosis. In: Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 139, No. 4. pp. 551-559.
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