Decoding supraglottic stenosis.

Details

Serval ID
serval:BIB_B0C5152B21B7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Decoding supraglottic stenosis.
Journal
European archives of oto-rhino-laryngology
Author(s)
Colliard A., Ishii A., De Sandre C., Gorostidi F., Sandu K.
ISSN
1434-4726 (Electronic)
ISSN-L
0937-4477
Publication state
Published
Issued date
01/2020
Peer-reviewed
Oui
Volume
277
Number
1
Pages
293-300
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Supraglottic stenosis (SPGS) is a rare condition and little is known about its optimal management. Its etiologies are varied and depend on the age group. Here, we review our institution's series of patients and propose treatment strategies for SPGS.
SPGS patients between 2013 and 2019 were retrospectively reviewed. We recorded their demography, clinical data and endoscopy. The patients were treated with either an endoscopic, open or a combined approach. Subsequently, we reviewed photo and video documents, medical sheets and long-term follow-up charts.
The report includes 14 children having a mean age of 5.7 years (range 2 months-13 years). Seven children had undergone prior supraglottoplasty for laryngomalacia, three children had blunt neck trauma and four had iatrogenic plus post-intubation etiology. Five children received endoscopic treatment and are currently symptom free. Four patients received a combined repair with satisfactory results. Five children received an open repair, four of which are decannulated and feed orally without aspiration. Most children in this group required additional endoscopic interventions.
Post supraglottoplasty stenosis can be treated optimally by an endoscopic approach. More severe supraglottic cicatrical sequelae with posterior glottic involvement may require a combined endoscopic and open approach. Transglottic stenoses with severe grades of multi-level stenoses require an extended cricotracheal resection.
Keywords
Laryngeal stenosis, Supraglottic stenosis
Pubmed
Web of science
Create date
13/10/2019 18:39
Last modification date
14/08/2020 23:47
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