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The outcomes of endoscopic management in young children with subglottic stenosis.

Abstract Subglottic stenosis (SGS) is a common cause of obstructed airway in children, and the treatment of pediatric SGS, especially congenital SGS, remains a challenge for the otolaryngologist.
PMID
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Authors

Mayor MeshTerms
Keywords

Endoscopic anterior cricoid split

Endoscopic balloon dilation

Subglottic stenosis

Young children

Journal Title international journal of pediatric otorhinolaryngology
Publication Year Start




PMID- 28688557
OWN - NLM
STAT- MEDLINE
DA  - 20170709
DCOM- 20170803
LR  - 20170803
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 99
DP  - 2017 Aug
TI  - The outcomes of endoscopic management in young children with subglottic stenosis.
PG  - 141-145
LID - S0165-5876(17)30260-4 [pii]
LID - 10.1016/j.ijporl.2017.06.012 [doi]
AB  - Subglottic stenosis (SGS) is a common cause of obstructed airway in children, and
      the treatment of pediatric SGS, especially congenital SGS, remains a challenge
      for the otolaryngologist. OBJECTIVE: To analyze the outcomes of endoscopic
      management in young children with SGS. METHODS: We performed a retrospective
      review of treatment with endoscopic balloon dilation (EBD) or EBD combined with
      endoscopic anterior cricoid split (EACS) for young SGS children, from December
      2008 to December 2015. The ages of patients ranged from 2 days to 12 years,
      median age was 5 months. The grade of them ranged from II to IV. RESULTS: For
      acute acquired SGS, 19 cases received EBD alone and the other 3 cases received
      EBD and EACS, the success rate was about 95.5%; For chronic acquired SGS, EBD and
      EACS was performed in 6 patients with a success rate of 66.7%; For congenital
      SGS, EBD and EACS was performed in 28 patients with a success rate of 85.7%.
      Overall, the success rate of endoscopic management in 56 young children was about
      87.5%. Besides, No procedure-related complications were observed in any patients.
      CONCLUSIONS: Endoscopic surgical technique offers a safe and effective approach
      for treatment of young children with SGS, especially in congenital SGS.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Chen, Chao
AU  - Chen C
AD  - Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan 
      University, Shanghai, China.
FAU - Ni, Wei-Hua
AU  - Ni WH
AD  - Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan 
      University, Shanghai, China.
FAU - Tian, Tan-le
AU  - Tian TL
AD  - Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan 
      University, Shanghai, China.
FAU - Xu, Zheng-Min
AU  - Xu ZM
AD  - Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan 
      University, Shanghai, China. Electronic address: [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170615
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Constriction, Pathologic/complications
MH  - Endoscopy/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Laryngostenosis/*surgery
MH  - Male
MH  - Retrospective Studies
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Endoscopic anterior cricoid split
OT  - Endoscopic balloon dilation
OT  - Subglottic stenosis
OT  - Young children
EDAT- 2017/07/10 06:00
MHDA- 2017/08/05 06:00
CRDT- 2017/07/10 06:00
PHST- 2017/04/10 [received]
PHST- 2017/06/02 [revised]
PHST- 2017/06/09 [accepted]
AID - S0165-5876(17)30260-4 [pii]
AID - 10.1016/j.ijporl.2017.06.012 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2017 Aug;99:141-145. doi:
      10.1016/j.ijporl.2017.06.012. Epub 2017 Jun 15.