Outcomes of balloon dilation for paediatric laryngeal stenosis.

Détails

ID Serval
serval:BIB_802BE173CE6C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Outcomes of balloon dilation for paediatric laryngeal stenosis.
Périodique
Acta otorhinolaryngologica Italica
Auteur(s)
Cantarella G., Gaffuri M., Torretta S., Neri S., Ambrosini M.T., D'Onghia A., Pignataro L., Sandu K.
ISSN
1827-675X (Electronic)
ISSN-L
0392-100X
Statut éditorial
Publié
Date de publication
10/2020
Peer-reviewed
Oui
Volume
40
Numéro
5
Pages
360-367
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
Balloon dilation (BD) is a minimally invasive endoscopic treatment for paediatric laryngeal stenosis (LS) with reduced morbidity compared to open surgery. We retrospectively describe our experience in a cohort of children with chronic LS.
Fourteen children (median age: 28.5; range: 2-81 months) with chronic LS (multilevel in 8) were treated with tubeless total intravenous anaesthesia under spontaneous ventilation.
Grade III LS was preoperatively detected in 12 children; the remaining 2 had grade IV stenosis. Six had prior tracheotomy, and one received it during the first intervention. Dilation laryngoplasty was the primary treatment in 11 children and was used as an adjuvant treatment in 3 after open reconstructive surgery. The median number of dilations was 2 (range: 1-6). There were no postoperative complications. At the end of the follow-up (median: 20.5; range: 2-46 months), detectable laryngeal lumen widening and/or respiratory improvement occurred in 12 children. Two of 7 patients with tracheostomy were decannulated.
Balloon laryngoplasty is a valuable therapeutic option to improve laryngeal patency in children with chronic multilevel LS, both as a primary and secondary adjuvant treatment after reconstructive surgery.
Mots-clé
balloon dilation, children, dyspnea, laryngeal stenosis, paediatric
Pubmed
Web of science
Open Access
Oui
Création de la notice
22/12/2020 12:17
Dernière modification de la notice
07/07/2021 6:36
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