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]
Details
Serval ID
serval:BIB_FFB62CD1994C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
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]
Journal
HNO
Contributor(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
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
68
Number
6
Pages
407-413
Language
german
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
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.
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.
Keywords
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
Yes
Create date
10/03/2020 17:27
Last modification date
06/04/2024 7:24
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