Prognostische Aussagekraft der ELS-Klassifikation bei der Beurteilung laryngotrachealer Stenosen im Kindesalter [Prognostic value of the ELS grading system for assessment of laryngotracheal stenosis in children]

Détails

ID Serval
serval:BIB_FFB62CD1994C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Prognostische Aussagekraft der ELS-Klassifikation bei der Beurteilung laryngotrachealer Stenosen im Kindesalter [Prognostic value of the ELS grading system for assessment of laryngotracheal stenosis in children]
Périodique
HNO
Auteur⸱e⸱s
Sittel C., Monnier P., Peretti G., Piazza C., Fiz I.
Contributeur⸱rice⸱s
Monsel A., Constantin J.M., Bouglé A., Blot S., Poulakou G., Pontikis K., Kyriakoudi A., Koutsoukou A., Dimopoulos G., Routsi C., Arvaniti K., Pereira J.M., Felton T., Dhanani J., Roberts J., Bassetti M., Welte T., Dugernier J., Laterre P.F., Ehrmann S., Boisson M., Mimoz O., Leone M., Palmer L.B., Pugin J., Qu J.M., Zhu Y.G., Liao X.
ISSN
1433-0458 (Electronic)
ISSN-L
0017-6192
Statut éditorial
Publié
Date de publication
06/2020
Peer-reviewed
Oui
Volume
68
Numéro
6
Pages
407-413
Langue
allemand
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
In 2015, the European Laryngological Society (ELS) published a consensus paper in which a new classification system for laryngotracheal stenosis (LTS) was presented. This retrospective analysis investigates the classification's reliability and prognostic value regarding the outcome of surgical airway reconstruction in a pediatric population.
A total of 191 pediatric patients treated with cricotracheal or segmental resection were included. The ELS score was retrospectively calculated using information on the degree of stenosis, number of involved subsites, and presence of significant comorbidity. Reliability and prognostic value for airway restoration, surgical complications, and need of additional treatment were analyzed.
Decannulation rate differed with regards to etiology (96% for acquired LTS, 86 and 87% for congenital and posttraumatic LTS, respectively). Decannulation was significantly more likely with 1-2 involved subsites than in LTS with 3-4 subsites (97 vs. 72%). The number of additional interventions after reconstruction was largely dependent on the number of involved subsites and the presence of significant comorbidity.
The ELS score for LTS permits prognostically reliable classification and is thus a valuable tool for decision making, counseling of patients and relatives, and comparing treatment outcomes.
Mots-clé
Child, Constriction, Pathologic, Humans, Laryngostenosis/diagnosis, Laryngostenosis/surgery, Prognosis, Reproducibility of Results, Retrospective Studies, Treatment Outcome, Airway extubation, Airway management, Malformations, Treatment outcome
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/03/2020 17:27
Dernière modification de la notice
06/04/2024 7:24
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