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Open Access 06-05-2024 | Dyspnea | Laryngology

Mapping quality of life after balloon dilatation in subglottic stenosis using Dyspnea index and Short Form Health Survey-36

Authors: Anders Erlandsson, Anders Lundquist, Katarina Olofsson

Published in: European Archives of Oto-Rhino-Laryngology

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Abstract

Purpose

An accurate diagnosis and proper treatment plan are required to restore an adequate patent airway in fibrotic subglottic stenosis (SGS). Currently, the definitive treatment entails single-stage balloon dilatation with steroid injections. The primary aim was to evaluate successful airway restoration and general quality of life in cases with SGS in northern Sweden using robust patient reported outcomes.

Methods

All participants with need of surgical treatment due to SGS that had been referred to the department of otorhinolaryngology, University Hospital of Umeå from September 2020 to August 2023 was included. Exclusion criteria included malignant, extrathoracic or cartilaginous cause, age < 18 years, or incompetent to sign consent documents. We assessed the patient-reported outcome measures pre- as well as 3 months postoperatively.

Results

Of the 40 cases fulfilling the eligibility criteria’s, 33 cases completed the Dyspnea index (DI) and the short form health survey (SF-36) pre- as well as 3 months post-operatively. Receiver operating characteristics showed significant improvement in DI as well as in SF 36 scores post-operatively.

Conclusions

Evaluation of balloon dilatation in SGS in this cohort follow-up analysis shows clear improvement in patient quality of life using robust PROM 3 months postoperatively, ensuring the use of a safe and well-tolerated procedure.
Literature
1.
go back to reference Nunn AC, Nouraei SAR, George PJ et al (2014) Not always asthma: clinical and legal consequences of delayed diagnosis of laryngotracheal stenosis. Case Reports in Otolaryngology 2014:1–5CrossRef Nunn AC, Nouraei SAR, George PJ et al (2014) Not always asthma: clinical and legal consequences of delayed diagnosis of laryngotracheal stenosis. Case Reports in Otolaryngology 2014:1–5CrossRef
2.
go back to reference Berges AJ, Lina IA, Chen L et al (2022) Delayed diagnosis of idiopathic subglottic stenosis. Laryngoscope 132(2):413–418CrossRefPubMed Berges AJ, Lina IA, Chen L et al (2022) Delayed diagnosis of idiopathic subglottic stenosis. Laryngoscope 132(2):413–418CrossRefPubMed
4.
go back to reference Yin LX, Padula WV, Gadkaree S et al (2019) Health care costs and cost-effectiveness in laryngotracheal stenosis. Otolaryngol Head Neck Surg 160(4):679–686CrossRefPubMed Yin LX, Padula WV, Gadkaree S et al (2019) Health care costs and cost-effectiveness in laryngotracheal stenosis. Otolaryngol Head Neck Surg 160(4):679–686CrossRefPubMed
5.
go back to reference Aarnæs MT, Sandvik L, Brøndbo K (2017) Idiopathic subglottic stenosis: an epidemiological single-center study. Eur Arch Otorhinolaryngol 274(5):2225–2228CrossRefPubMedPubMedCentral Aarnæs MT, Sandvik L, Brøndbo K (2017) Idiopathic subglottic stenosis: an epidemiological single-center study. Eur Arch Otorhinolaryngol 274(5):2225–2228CrossRefPubMedPubMedCentral
6.
7.
go back to reference Tierney WS, Huang LC, Chen SC et al (2023) Comparative treatment outcomes for idiopathic subglottic stenosis: 5-year update. Otolaryngol Head Neck Surg 168:1570–1575CrossRefPubMed Tierney WS, Huang LC, Chen SC et al (2023) Comparative treatment outcomes for idiopathic subglottic stenosis: 5-year update. Otolaryngol Head Neck Surg 168:1570–1575CrossRefPubMed
8.
go back to reference Hoffman MR, Patro A, Huang LC et al (2021) Impact of adjuvant medical therapies on surgical outcomes in idiopathic subglottic stenosis. Laryngoscope 131:E2880–E2886CrossRefPubMedPubMedCentral Hoffman MR, Patro A, Huang LC et al (2021) Impact of adjuvant medical therapies on surgical outcomes in idiopathic subglottic stenosis. Laryngoscope 131:E2880–E2886CrossRefPubMedPubMedCentral
9.
go back to reference Naunheim MR, Paddle PM, Husain I et al (2018) Quality-of-life metrics correlate with disease severity in idiopathic subglottic stenosis. Laryngoscope 128(6):1398–1402CrossRef Naunheim MR, Paddle PM, Husain I et al (2018) Quality-of-life metrics correlate with disease severity in idiopathic subglottic stenosis. Laryngoscope 128(6):1398–1402CrossRef
10.
go back to reference Gartner-Schmidt JL, Shembel AC, Zullo TG et al (2014) Development and validation of the Dyspnea Index (DI): a severity index for upper airway-related dyspnea. J Voice 28(6):775–782CrossRefPubMed Gartner-Schmidt JL, Shembel AC, Zullo TG et al (2014) Development and validation of the Dyspnea Index (DI): a severity index for upper airway-related dyspnea. J Voice 28(6):775–782CrossRefPubMed
11.
go back to reference Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483CrossRefPubMed Ware JE Jr, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30(6):473–483CrossRefPubMed
12.
go back to reference Ntouniadakis E, Brus O, von Beckerath M (2021) Dyspnea Index: an upper airway obstruction instrument; translation and validation in Swedish. Clin Otolaryngol 46(2):380–387CrossRefPubMedPubMedCentral Ntouniadakis E, Brus O, von Beckerath M (2021) Dyspnea Index: an upper airway obstruction instrument; translation and validation in Swedish. Clin Otolaryngol 46(2):380–387CrossRefPubMedPubMedCentral
13.
14.
go back to reference Tie K, Buckmire RA, Shah RN (2020) The role of spirometry and Dyspnea index in the management of subglottic stenosis. Laryngoscope 130(12):2760–2766CrossRefPubMed Tie K, Buckmire RA, Shah RN (2020) The role of spirometry and Dyspnea index in the management of subglottic stenosis. Laryngoscope 130(12):2760–2766CrossRefPubMed
15.
go back to reference Samad I, Akst L, Karatayli-Özgürsoy S et al (2016) Evaluation of Dyspnea outcomes after endoscopic airway surgery for laryngotracheal stenosis. JAMA Otolaryngol Head Neck Surg 142(11):1075CrossRefPubMedPubMedCentral Samad I, Akst L, Karatayli-Özgürsoy S et al (2016) Evaluation of Dyspnea outcomes after endoscopic airway surgery for laryngotracheal stenosis. JAMA Otolaryngol Head Neck Surg 142(11):1075CrossRefPubMedPubMedCentral
16.
go back to reference Ntouniadakis E, Sundh J, Soderqvist J et al (2023) How can we identify subglottic stenosis in patients with suspected obstructive disease? Eur Arch Otorhinolaryngol 280(11):4995–5001CrossRefPubMedPubMedCentral Ntouniadakis E, Sundh J, Soderqvist J et al (2023) How can we identify subglottic stenosis in patients with suspected obstructive disease? Eur Arch Otorhinolaryngol 280(11):4995–5001CrossRefPubMedPubMedCentral
17.
go back to reference Song SA, Santeerapharp A, Choksawad K et al (2020) Reliability of peak expiratory flow percentage compared to endoscopic grading in subglottic stenosis. Laryngosc Investig Otolaryngol 5(6):1133–1139CrossRef Song SA, Santeerapharp A, Choksawad K et al (2020) Reliability of peak expiratory flow percentage compared to endoscopic grading in subglottic stenosis. Laryngosc Investig Otolaryngol 5(6):1133–1139CrossRef
18.
go back to reference Alrabiah A, Almohanna S, Aljasser A et al (2022) Utility of spirometry values for evaluating tracheal stenosis patients before and after balloon dilation. Ear Nose Throat J 101(2):62–67CrossRef Alrabiah A, Almohanna S, Aljasser A et al (2022) Utility of spirometry values for evaluating tracheal stenosis patients before and after balloon dilation. Ear Nose Throat J 101(2):62–67CrossRef
19.
go back to reference Ntouniadakis E, Sundh J, Magnuson A et al (2023) Balloon dilatation is superior to CO(2) laser excision in the treatment of subglottic stenosis. Eur Arch Otorhinolaryngol 280(7):3303–3311CrossRefPubMedPubMedCentral Ntouniadakis E, Sundh J, Magnuson A et al (2023) Balloon dilatation is superior to CO(2) laser excision in the treatment of subglottic stenosis. Eur Arch Otorhinolaryngol 280(7):3303–3311CrossRefPubMedPubMedCentral
Metadata
Title
Mapping quality of life after balloon dilatation in subglottic stenosis using Dyspnea index and Short Form Health Survey-36
Authors
Anders Erlandsson
Anders Lundquist
Katarina Olofsson
Publication date
06-05-2024
Publisher
Springer Berlin Heidelberg
Keywords
Dyspnea
Dyspnea
Published in
European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-024-08667-0