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Management specificities of congenital laryngeal stenosis: external and endoscopic approaches.
Laryngoscope 2014; 124(4):1013-8L

Abstract

OBJECTIVES/HYPOTHESIS

This study aimed to report our experience in the management of congenital laryngeal stenosis and to compare our series and results to published data in the literature.

STUDY DESIGN

Retrospective case series. Tertiary referral center for rare pediatric head and neck malformations.

METHODS

Medical charts of patients diagnosed with congenital laryngeal stenosis in our institution were reviewed over a 15-year period, from 1996 to 2011. Surgical treatment consisted of an endoscopic procedure, open laryngeal surgery (OLS), or a combination of both.

RESULTS

Sixteen patients met the inclusion criteria for the study and were divided in two groups: the endoscopic laryngoplasty (EL) group, with patients who underwent the endoscopic procedure as first-line treatment, and the OLS group, whose patients underwent open laryngoplasty with cartilage graft as first-line treatment. Each group contained eight patients with grade II to IV congenital stenosis. All patients, except one in the EL group, achieved a good result (<50% residual stenosis) at the end of the follow-up.

CONCLUSIONS

This case series suggests that EL, with incision of the subglottic laryngeal cartilages with cold steel instruments and balloon dilation, is a safe and effective treatment for congenital laryngeal stenosis grade II to IV. This procedure could be considered as an alternative option to OLS, even as a first-line procedure. An endoscopic procedure does not preclude the possibility for an open laryngeal procedure in case of failure. A prolonged follow-up is mandatory.

LEVEL OF EVIDENCE

4.

Authors+Show Affiliations

Otolaryngology, Head and Neck Surgery Department, Necker Enfants-Malades Hospital, Paris.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24105758

Citation

Blanchard, Marion, et al. "Management Specificities of Congenital Laryngeal Stenosis: External and Endoscopic Approaches." The Laryngoscope, vol. 124, no. 4, 2014, pp. 1013-8.
Blanchard M, Leboulanger N, Thierry B, et al. Management specificities of congenital laryngeal stenosis: external and endoscopic approaches. Laryngoscope. 2014;124(4):1013-8.
Blanchard, M., Leboulanger, N., Thierry, B., Blancal, J. P., Glynn, F., Denoyelle, F., & Garabedian, E. N. (2014). Management specificities of congenital laryngeal stenosis: external and endoscopic approaches. The Laryngoscope, 124(4), pp. 1013-8. doi:10.1002/lary.24373.
Blanchard M, et al. Management Specificities of Congenital Laryngeal Stenosis: External and Endoscopic Approaches. Laryngoscope. 2014;124(4):1013-8. PubMed PMID: 24105758.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management specificities of congenital laryngeal stenosis: external and endoscopic approaches. AU - Blanchard,Marion, AU - Leboulanger,Nicolas, AU - Thierry,Briac, AU - Blancal,Jean-Philippe, AU - Glynn,Fergal, AU - Denoyelle,Françoise, AU - Garabedian,Erea Noël, Y1 - 2013/10/05/ PY - 2013/07/29/revised PY - 2013/07/29/accepted PY - 2013/10/10/entrez PY - 2013/10/10/pubmed PY - 2014/5/7/medline KW - Larynx KW - balloon dilation KW - congenital laryngeal stenosis KW - cricoid split KW - endoscopic procedure SP - 1013 EP - 8 JF - The Laryngoscope JO - Laryngoscope VL - 124 IS - 4 N2 - OBJECTIVES/HYPOTHESIS: This study aimed to report our experience in the management of congenital laryngeal stenosis and to compare our series and results to published data in the literature. STUDY DESIGN: Retrospective case series. Tertiary referral center for rare pediatric head and neck malformations. METHODS: Medical charts of patients diagnosed with congenital laryngeal stenosis in our institution were reviewed over a 15-year period, from 1996 to 2011. Surgical treatment consisted of an endoscopic procedure, open laryngeal surgery (OLS), or a combination of both. RESULTS: Sixteen patients met the inclusion criteria for the study and were divided in two groups: the endoscopic laryngoplasty (EL) group, with patients who underwent the endoscopic procedure as first-line treatment, and the OLS group, whose patients underwent open laryngoplasty with cartilage graft as first-line treatment. Each group contained eight patients with grade II to IV congenital stenosis. All patients, except one in the EL group, achieved a good result (<50% residual stenosis) at the end of the follow-up. CONCLUSIONS: This case series suggests that EL, with incision of the subglottic laryngeal cartilages with cold steel instruments and balloon dilation, is a safe and effective treatment for congenital laryngeal stenosis grade II to IV. This procedure could be considered as an alternative option to OLS, even as a first-line procedure. An endoscopic procedure does not preclude the possibility for an open laryngeal procedure in case of failure. A prolonged follow-up is mandatory. LEVEL OF EVIDENCE: 4. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/24105758/Management_specificities_of_congenital_laryngeal_stenosis:_external_and_endoscopic_approaches_ L2 - https://doi.org/10.1002/lary.24373 DB - PRIME DP - Unbound Medicine ER -