Long-term results of slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.

Details

Serval ID
serval:BIB_98AFB9C3E590
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long-term results of slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.
Journal
International journal of pediatric otorhinolaryngology
Author(s)
Erdélyi E., Bach Á., Sztanó B., Gál P., Sandu K., Bereczki C., Rovó L.
ISSN
1872-8464 (Electronic)
ISSN-L
0165-5876
Publication state
Published
Issued date
27/05/2022
Peer-reviewed
Oui
Volume
158
Pages
111192
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Abstract
Slide laryngotracheoplasty is an effective, single-step procedure without tracheostomy and stenting for treating high-grade congenital subglottic stenosis in neonates and infants. Long-term outcomes were evaluated to assess the reliability of the procedure performed in this age of rapid development of the laryngeal structures.
We report five children who underwent slide laryngotracheoplasty before the age of 4 months, each with >3 years follow-up. Increases of length and bodyweight were systematically assessed. Breathing, swallowing, voice, and overall satisfaction was assessed by a quality of life questionnaire. Voice quality was objectively evaluated by measuring shimmer, jitter, fundamental frequency, and the harmonics-to-noise ratio.
All patients had a stable and adequate airway during follow-up without any additional open airway surgery. The patients' voices were physiological, and the intervention had no negative impact on speech development. Swallowing function was optimally retained, and the patients' bodyweight gain and length were satisfactory. During at least 3 years of observation, the anastomosis remained stable and grew dynamically with the patient.
Slide laryngotracheoplasty (as a single-step procedure) provides an adequate airway without tracheostomy, grafting, or stenting with good long-term functional results in selected neonates and infants with congenital subglottic stenosis.
Keywords
Congenital subglottic stenosis, Long-term follow-up, Open surgery, Slide laryngotracheoplasty
Pubmed
Open Access
Yes
Create date
07/06/2022 9:35
Last modification date
22/06/2022 6:38
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