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The effects of balloon dilation laryngoplasty in children with congenital heart disease.
Arch Otolaryngol Head Neck Surg 2012; 138(12):1136-40AO

Abstract

OBJECTIVE

To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD).

DESIGN

Retrospective study.

SETTING

Tertiary care academic health center.

PATIENTS

Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.

MAIN OUTCOME MEASURES

Clinical improvement and avoidance of tracheotomy.

RESULTS

We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.

CONCLUSIONS

Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23247233

Citation

Collins, William O., et al. "The Effects of Balloon Dilation Laryngoplasty in Children With Congenital Heart Disease." Archives of Otolaryngology--head & Neck Surgery, vol. 138, no. 12, 2012, pp. 1136-40.
Collins WO, Kalantar N, Rohrs HB, et al. The effects of balloon dilation laryngoplasty in children with congenital heart disease. Arch Otolaryngol Head Neck Surg. 2012;138(12):1136-40.
Collins, W. O., Kalantar, N., Rohrs, H. B., & Silva, R. C. (2012). The effects of balloon dilation laryngoplasty in children with congenital heart disease. Archives of Otolaryngology--head & Neck Surgery, 138(12), pp. 1136-40. doi:10.1001/jamaoto.2013.676.
Collins WO, et al. The Effects of Balloon Dilation Laryngoplasty in Children With Congenital Heart Disease. Arch Otolaryngol Head Neck Surg. 2012;138(12):1136-40. PubMed PMID: 23247233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of balloon dilation laryngoplasty in children with congenital heart disease. AU - Collins,William O, AU - Kalantar,Nader, AU - Rohrs,Hillary B, AU - Silva,Rodrigo C, PY - 2012/12/19/entrez PY - 2012/12/19/pubmed PY - 2014/6/6/medline SP - 1136 EP - 40 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 138 IS - 12 N2 - OBJECTIVE: To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD). DESIGN: Retrospective study. SETTING: Tertiary care academic health center. PATIENTS: Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011. MAIN OUTCOME MEASURES: Clinical improvement and avoidance of tracheotomy. RESULTS: We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement. CONCLUSIONS: Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided. SN - 1538-361X UR - https://www.unboundmedicine.com/medline/citation/23247233/The_effects_of_balloon_dilation_laryngoplasty_in_children_with_congenital_heart_disease_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/jamaoto.2013.676 DB - PRIME DP - Unbound Medicine ER -