Top

European Archives of Oto-Rhino-Laryngology

Published in:

01-10-2015 | Laryngology

Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society

Authors: Ph. Monnier, F. G. Dikkers, H. Eckel, C. Sittel, C. Piazza, G. Campos, M. Remacle, G. Peretti

Published in: European Archives of Oto-Rhino-Laryngology | Issue 10/2015

Abstract

Adult and pediatric laryngotracheal stenoses (LTS) comprise a wide array of various conditions that require precise preoperative assessment and classification to improve comparison of different therapeutic modalities in a matched series of patients. This consensus paper of the European Laryngological Society proposes a five-step endoscopic airway assessment and a standardized reporting system to better differentiate fresh, incipient from mature, cicatricial LTSs, simple one-level from complex multilevel LTSs and finally “healthy” from “severely morbid” patients. The proposed scoring system, which integrates all of these parameters, may be used to help define different groups of LTS patients, choose the best treatment modality for each individual patient and assess distinct post-treatment outcomes accordingly.

Zeeshan A, Detterbeck F, Hecker E (2014) Laryngotracheal resection and reconstruction. Thorac Surg Clin 24(1):67–71CrossRefPubMed

Zhi L, Wenli W, Pengfei G, Pengcheng C, Wenxian C, Jiasheng L et al (2014) Laryngotracheal reconstruction with autogenous rib cartilage graft for complex laryngotracheal stenosis and/or anterior neck defect. Eur Arch Otorhinolaryngol 271(2):317–322CrossRefPubMed

Deckard N, Yeh J, Soares DJ, Criddle M, Stachler R, Coticchia J (2013) Utility of two-stage laryngotracheal reconstruction in the management of subglottic stenosis in adults. Ann Otol Rhinol Laryngol 122(5):322–329CrossRefPubMed

Chekan VL (2013) The treatment of combined cicatrical stenoses of the larynx and trachea. Vestn Otorinolaringol 1:64–67PubMed

Morcillo A, Wins R, Gomez-Caro A, Paradela M, Molins L, Tarrazona V (2013) Single-staged laryngotracheal reconstruction for idiopathic tracheal stenosis. Ann Thorac Surg 95(2):433–439 (discussion 9)

Jovic RM, Dragicevic D, Komazec Z, Mitrovic S, Janjevic D, Gasic J (2012) Laryngotracheal stenosis and restenosis. What has the influence on the final outcome? Eur Arch Otorhinolaryngol 269(7):1805–1811

Schmidt RJ, Shah G, Sobin L, Reilly JS (2011) Laryngotracheal reconstruction in infants and children: are single-stage anterior and posterior grafts a reliable intervention at all pediatric hospitals? Int J Pediatr Otorhinolaryngol 75(12):1585–1588CrossRefPubMed

Cui P, Gao P, Luo J, Ruan Y (2011) Thyroid alar cartilage graft laryngotracheal reconstruction in adults. Otolaryngol Head Neck Surg 144(5):747–750CrossRefPubMed

Bielecki I, Cofala M (2011) Single-stage laryngotracheoplasty in children. Auris Nasus Larynx 38(6):697–701CrossRefPubMed

10.

Choo KK, Tan HK, Balakrishnan A (2010) Subglottic stenosis in infants and children. Singap Med J 51(11):848–852

11.

Goh BS, Roopesh S, Marina MB, Abdullah SM (2014) Partial cricotracheal resection (PCTR), a rewarding outcome for paediatric subglottic stenosis: an early experience. Med J Malays 69(1):13–15

12.

Rubikas R, Matukaityte I, Jelisiejevas JJ, Rackauskas M (2014) Surgical treatment of non-malignant laryngotracheal stenosis. Eur Arch Otorhinolaryngol 271(9):2481–2487CrossRefPubMed

13.

Balasubramanian D, Thankappan K, Shetty S, Jayaprasad K, Mathew J, Iyer S (2013) Cricotracheal reconstruction with free radial forearm flap and titanium mesh. Head Neck 35(6):E178–E180CrossRefPubMed

14.

Torre M, Carlucci M, Avanzini S, Jasonni V, Monnier P, Tarantino V et al (2011) Gaslini’s tracheal team: preliminary experience after one year of paediatric airway reconstructive surgery. Ital J Pediatr 37:51PubMedCentralCrossRefPubMed

15.

Mutrie CJ, Eldaif SM, Rutledge CW, Force SD, Grist WJ, Mansour KA et al (2011) Cervical tracheal resection: new lessons learned. Ann Thorac Surg 91(4):1101–1106 (discussion 6)

16.

Taylor JC, Collar RM, Wilson KF, Ohye RG, Green GE (2010) Cricotracheal resection with hilar release for pediatric airway stenosis. Arch Otolaryngol Head Neck Surg 136(3):256–259

17.

Parida PK, Gupta AK (2009) Management of laryngotracheal stenosis—our experience. Indian J Otolaryngol Head Neck Surg 61(4):306–312PubMedCentralCrossRefPubMed

18.

Schick B, Weidenbecher M, Miller R, Iro H (2007) Experience with laryngotracheal reconstruction in subglottic stenosis in a 30 years time period. Laryngorhinootologie 86(5):358–364CrossRefPubMed

19.

Primov-Fever A, Talmi YP, Yellin A, Wolf M (2006) Cricotracheal resection for airway reconstruction: the Sheba Medical Center experience. IMAJ 8(8):543–547PubMed

20.

Amoros JM, Ramos R, Villalonga R, Morera R, Ferrer G, Diaz P (2006) Tracheal and cricotracheal resection for laryngotracheal stenosis: experience in 54 consecutive cases. Eur J Cardiothorac Surg 29(1):35–39CrossRefPubMed

21.

Alvarez-Neri H, Penchyna-Grub J, Porras-Hernandez JD, Blanco-Rodriguez G, Gonzalez R, Rutter MJ (2005) Primary cricotracheal resection with thyrotracheal anastomosis for the treatment of severe subglottic stenosis in children and adolescents. Ann Otol Rhinol Laryngol 114(1 Pt 1):2–6CrossRefPubMed

22.

Triglia JM, Nicollas R, Roman S (2001) Primary cricotracheal resection in children: indications, technique and outcome. Int J Pediatr Otorhinolaryngol 58(1):17–25CrossRefPubMed

23.

Triglia JM, Nicollas R, Roman S (2000) Management of subglottic stenosis in infancy and childhood. Eur Arch Otorhinolaryngol 257(7):382–385CrossRefPubMed

24.

Hartley BE, Cotton RT (2000) Paediatric airway stenosis: laryngotracheal reconstruction or cricotracheal resection? Clin Otolaryngol Allied Sci 25(5):342–349CrossRefPubMed

25.

Piazza C, Del Bon F, Paderno A, Grazioli P, Mangili S, Lombardi D et al (2014) Complications after tracheal and cricotracheal resection and anastomosis for inflammatory and neoplastic stenoses. Ann Otol Rhinol Laryngol 123(11):798–804CrossRefPubMed

26.

Myer CM 3rd, O’Connor DM, Cotton RT (1994) Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol 103(4 Pt 1):319–323CrossRefPubMed

27.

Monnier P, Ikonomidis C, Jaquet Y, George M (2009) Proposal of a new classification for optimising outcome assessment following partial cricotracheal resections in severe pediatric subglottic stenosis. Int J Pediatrotorhinolaryngol 73(9):1217–1221CrossRef

28.

Little JP, Matthews BL, Glock MS, Koufman JA, Reboussin DM, Loughlin CJ et al (1997) Extraesophageal pediatric reflux: 24-hour double-probe pH monitoring of 222 children. Ann Otol Rhinol Laryngol Suppl 169:1–16PubMed

29.

Nielsen RG, Kruse-Andersen S, Husby S (2003) Low reproducibility of 2 × 24-hour continuous esophageal pH monitoring in infants and children: a limiting factor for interventional studies. Dig Dis Sci 48(8):1495–1502CrossRefPubMed

30.

Lopez-Alonso M, Moya MJ, Cabo JA, Ribas J, del Carmen Macias M, Silny J et al (2006) Twenty-four-hour esophageal impedance-pH monitoring in healthy preterm neonates: rate and characteristics of acid, weakly acidic, and weakly alkaline gastroesophageal reflux. Pediatrics 118(2):e299–e308CrossRefPubMed

31.

Mazzoleni G, Vailati C, Lisma DG, Testoni PA, Passaretti S (2014) Correlation between oropharyngeal pH-monitoring and esophageal pH-impedance monitoring in patients with suspected GERD-related extra-esophageal symptoms. Neurogastroenterol Motil 26(11):1557–1564CrossRefPubMed

32.

Tenca A, Campagnola P, Bravi I, Benini L, Sifrim D, Penagini R (2014) Impedance pH Monitoring: intra-observer and inter-observer agreement and usefulness of a rapid analysis of symptom reflux association. J Neurogastroenterol Motil 20(2):205–211PubMedCentralCrossRefPubMed

33.

Furuta GT, Liacouras CA, Collins MH, Gupta SK, Justinich C, Putnam PE et al (2007) Eosinophilic esophagitis in children and adults: a systematic review and consensus recommendations for diagnosis and treatment. Gastroenterology 133(4):1342–1363CrossRefPubMed

34.

Dauer EH, Freese DK, El-Youssef M, Thompson DM (2005) Clinical characteristics of eosinophilic esophagitis in children. Ann Otol Rhinol Laryngol 114(11):827–833CrossRefPubMed

35.

Duna GF, Galperin C, Hoffman GS (1995) Wegener’s granulomatosis. Rheumc Dis Clin North Am 21(4):949–986

36.

Lampman JH, Querubin R, Kondapalli P (1981) Subglottic stenosis in Wegener’s granulomatosis. Chest 79(2):230–232CrossRefPubMed

37.

Talerman A, Wright D (1972) Laryngeal obstruction due to Wegener’s granulomatosis. Arch Otolaryngol 96(4):376–379CrossRefPubMed

38.

Damiani JM, Levine HL (1979) Relapsing polychondritis—report of ten cases. Laryngoscope 89(6 Pt 1):929–946PubMed

39.

Batsakis JG, Manning JT (1989) Relapsing polychondritis. Ann Otol Rhinol Laryngol 98(1 Pt 1):83–84CrossRefPubMed

40.

Caldarelli DD, Friedberg SA, Harris AA (1979) Medical and surgical aspects of the granulomatous diseases of the larynx. Otolaryngol Clin North Am 12(4):767–781PubMed

41.

Auerbach O (1946) Laryngeal tuberculosis. Arch Otolaryngol 44:191–201CrossRefPubMed

42.

Bailey CM, Windle-Taylor PC (1981) Tuberculous laryngitis: a series of 37 patients. Laryngoscope 91(1):93–100CrossRefPubMed

43.

Burns JL (1993) Laryngeal tuberculosis. J Otol 22(5):398

44.

Neel HB 3rd, McDonald TJ (1982) Laryngeal sarcoidosis: report of 13 patients. Ann Otol Rhinol Laryngol 91(4 Pt 1):359–362CrossRefPubMed

45.

Krespi YP, Mitrani M, Husain S, Meltzer CJ (1987) Treatment of laryngeal sarcoidosis with intralesional steroid injection. Ann Otol Rhinol Laryngol 96(6):713–715CrossRefPubMed

46.

Grillo HC, Mark EJ, Mathisen DJ, Wain JC (1993) Idiopathic laryngotracheal stenosis and its management. Ann Thorac Surg 56(1):80–87CrossRefPubMed

47.

Ashiku SK, Mathisen DJ (2003) Idiopathic laryngotracheal stenosis. Chest Surg Clin North Am 13(2):257–269CrossRef

48.

Giudice M, Piazza C, Foccoli P, Toninelli C, Cavaliere S, Peretti G (2003) Idiopathic subglottic stenosis: management by endoscopic and open-neck surgery in a series of 30 patients. Eur Arch Otorhinolaryngol 260(5):235–238PubMed

49.

Piazza C, Cavaliere S, Foccoli P, Toninelli C, Bolzoni A, Peretti G (2003) Endoscopic management of laryngo-tracheobronchial amyloidosis: a series of 32 patients. Eur Arch Otorhinolaryngol 260(7):349–354CrossRefPubMed

50.

Schlesinger AE, Hernandez RJ (1990) Radiographic imaging of airway obstruction in pediatrics. Otolaryngol Clin North Am 23(4):609–637PubMed

51.

Singh C, Gupta M, Sharma S (2006) Compression of trachea due to double aortic arch: demonstration by multi-slice CT scan (MSCT). Heart Lung Circ 15(5):332–333CrossRefPubMed

52.

Lambert V, Sigal-Cinqualbre A, Belli E, Planche C, Roussin R, Serraf A et al (2005) Preoperative and postoperative evaluation of airways compression in pediatric patients with 3-dimensional multislice computed tomographic scanning: effect on surgical management. J Thorac Cardiovasc Surg 129(5):1111–1118CrossRefPubMed

53.

Honnef D, Wildberger JE, Das M, Hohl C, Mahnken AH, Barker M et al (2006) Value of virtual tracheobronchoscopy and bronchography from 16-slice multidetector-row spiral computed tomography for assessment of suspected tracheobronchial stenosis in children. Eur Radiol 16(8):1684–1691CrossRefPubMed

54.

Lowe GM, Donaldson JS, Backer CL (1991) Vascular rings: 10-year review of imaging. Radiographics 11(4):637–646

55.

Parida PK, Gupta AK (2008) Role of spiral computed tomography with 3-dimensional reconstruction in cases with laryngeal stenosis—a radioclinical correlation. Am J Otolaryngol 29(5):305–311CrossRefPubMed

56.

Jewett BS, Cook RD, Johnson KL, Logan TC, Rosbe KW, Mukherji SK et al (1999) Subglottic stenosis: correlation between computed tomography and bronchoscopy. Ann Otol Rhinol Laryngol 108(9):837–841CrossRefPubMed

57.

Lunn WW, Sheller JR (1995) Flow volume loops in the evaluation of upper airway obstruction. Otolaryngol Clin North Am 28(4):721–729PubMed

58.

Bogaard JM, Pauw KH, Versprille A, Stam H, Verbraak AF, Maas AJ (1987) Maximal expiratory and inspiratory flow-volume curves in bilateral vocal-cord paralysis. Changes after surgical treatment and comparison with glottic resistance characteristics. ORL J Otorhinolaryngol Relat Spec 49(1):35–41

59.

Hirano M (1981) Clinical examination of the voice. Disorders of Human Communication. Springer Verlag, New York, pp 1–98

60.

Schutte H (2000) The phonetogram: measurement and interpretation. In: Ferlito A, Hodder A (eds) Diseases of the Larynx, pp 145–149

61.

George M, Monnier P (2010) Long-term voice outcome following partial cricotracheal resection in children for severe subglottic stenosis. Int J Pediatr Otorhinolaryngol 74(2):154–160CrossRefPubMed

62.

Bryans L, Palmer AD, Schindler JS, Andersen PE, Cohen JI (2013) Subjective and objective parameters of the adult female voice after cricotracheal resection and dilation. Ann Otol Rhinol Laryngol 122(11):707–716CrossRefPubMed

63.

Houlton JJ, de Alarcon A, Johnson K, Meinzen-Derr J, Brehm SB, Weinrich B et al (2011) Voice outcomes following adult cricotracheal resection. Laryngoscope 121(9):1910–1914PubMed

64.

Smith ME, Roy N, Stoddard K, Barton M (2008) How does cricotracheal resection affect the female voice? Ann Otol Rhinol Laryngol 117(2):85–89PubMed

65.

Tirado Y, Chadha NK, Allegro J, Forte V, Campisi P (2011) Quality of life and voice outcomes after thyroid ala graft laryngotracheal reconstruction in young children. Otolaryngol Head Neck Surg 144(5):770–777CrossRefPubMed

Title: Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society
Authors: Ph. Monnier
F. G. Dikkers
H. Eckel
C. Sittel
C. Piazza
G. Campos
M. Remacle
G. Peretti
Publication date: 01-10-2015
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 10/2015
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-015-3635-4

ACC 2024 Congress

Springer Medicine

Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society

Abstract

ACC 2024 Congress

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2015

Preventing amikacin related ototoxicity with N-acetylcysteine in patients undergoing peritoneal dialysis

Velopharyngeal function after free thoracodorsal artery perforator flap in lateral and superior oropharyngeal cancer

The treatment of snoring by radiofrequency-assisted uvulopalatoplasty and results after one-session protocol: a prospective, longitudinal, non-randomized study

Titanium prosthesis or autologous incus for total ossicular reconstruction in the absence of the stapes suprastructure and presence of mobile footplate

A randomized study of temperature-controlled versus bipolar radiofrequency for inferior turbinate reduction

Barbed reposition pharyngoplasty (BRP) for OSAHS: a feasibility, safety, efficacy and teachability pilot study. “We are on the giant’s shoulders”