Partial cricotracheal resection in children weighing less than 10 kilograms.

Détails

ID Serval
serval:BIB_CA71132DBDA8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Partial cricotracheal resection in children weighing less than 10 kilograms.
Périodique
Otolaryngology-Head and Neck Surgery
Auteur(s)
Ikonomidis Christos, George Mercy, Jaquet Yves, Monnier Philippe
ISSN
1097-6817[electronic], 0194-5998[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
142
Numéro
1
Pages
41-47
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article
Résumé
OBJECTIVES: To assess the long-term outcome, safety, and efficacy of partial cricotracheal resection (PCTR) for subglottic stenosis in a group of children and infants weighing less than 10 kg at the time of the surgery. STUDY DESIGN: Historical cohort study. SETTING: Academic tertiary medical center. SUBJECTS AND METHODS: Thirty-six children weighing less than 10 kg at the time of the surgery were compared to a group of 65 children who weighed more than 10 kg. The Kaplan Meier method and Cox regression were carried out to detect differences in decannulation time and rates and to examine the influence of various parameters (i.e., comorbidities, type of surgery, and complications requiring revision surgery) at the time of decannulation. Evaluation of the long-term outcome was based on questionnaires assessing breathing, voice, and swallowing. RESULTS: Decannulation rate was 92 percent (33/36) for the group of children weighing less than 10 kg. No significant differences were found between the two body weight groups with respect to the aforementioned covariates. The median follow-up period was nine years (range, 1-23 yrs). Questionnaire responses revealed completely normal breathing and swallowing in 72 percent and 90 percent of the children, respectively. Seventy-one percent of the patients considered their voice to be rough or weak. CONCLUSION: PCTR in infants and children weighing less than 10 kg is a safe and efficient technique with similar long-term results when compared to results seen in older and heavier children.
Mots-clé
Adolescent, Body Weight, Child, Child, Preschool, Cohort Studies, Cricoid Cartilage/surgery, Female, Humans, Infant, Laryngostenosis/surgery, Male, Retrospective Studies, Time Factors, Trachea/surgery, Treatment Outcome
Pubmed
Web of science
Création de la notice
27/04/2010 14:37
Dernière modification de la notice
03/03/2018 21:24
Données d'usage