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01-10-2015 | Original Article

Severe acquired subglottic stenosis in children: analysis of clinical features and surgical outcomes based on the range of stenosis

Authors: Keiichi Morita, Akiko Yokoi, Yuko Bitoh, Hiroaki Fukuzawa, Yuichi Okata, Tamaki Iwade, Kosuke Endo, Junkichi Takemoto, Akihiko Tamaki, Kosaku Maeda

Published in: Pediatric Surgery International | Issue 10/2015

Abstract

Purpose

The present study analyzed the clinical features and surgical outcomes of laryngotracheal reconstruction (LTR) in pediatric patients with severe acquired subglottic stenosis (SGS) based on the range of stenosis. The aim was to clarify the indications for LTR in severe acquired SGS.

Methods

The medical records of 33 pediatric patients with severe acquired SGS (Myer-Cotton grade III or IV) at our institution between January 1994 and December 2013 were retrospectively reviewed.

Results

Nine patients had stenosis localized at the subglottis (localized SGS), and twenty-four patients had stenosis extending to the glottis or supraglottis from the subglottis (extended SGS). 66.7 % (6/9) of localized SGS patients were intubated after infancy, and 95.8 % (22/23) of extended SGS patients were intubated in the neonatal period. The duration of intubation was significantly shorter with localized than with extended SGS. Sixteen patients underwent LTR. The operation-specific decannulation rate was 80.0 % (4/5) in the localized SGS group and 14.3 % (1/7) in the extended SGS group.

Conclusion

The range of stenosis was affected by the period and duration of endotracheal intubation. Surgical outcomes of LTR tended to differ between localized SGS and extended SGS. LTR can be effective for localized SGS.

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Title: Severe acquired subglottic stenosis in children: analysis of clinical features and surgical outcomes based on the range of stenosis
Authors: Keiichi Morita
Akiko Yokoi
Yuko Bitoh
Hiroaki Fukuzawa
Yuichi Okata
Tamaki Iwade
Kosuke Endo
Junkichi Takemoto
Akihiko Tamaki
Kosaku Maeda
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 10/2015
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-015-3773-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Severe acquired subglottic stenosis in children: analysis of clinical features and surgical outcomes based on the range of stenosis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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