Tags

Type your tag names separated by a space and hit enter

[Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success].
Braz J Otorhinolaryngol 2014 Sep-Oct; 80(5):409-15BJ

Abstract

INTRODUCTION

The treatment of subglottic stenosis in children remains a challenge for the otorhinolaryngologist, and may involve both endoscopic and open surgery.

OBJECTIVE

To report the experience of two tertiary facilities in the treatment of acquired subglottic stenosis in children with balloon laryngoplasty, and to identify predictive factors for success of the technique and its complications.

METHODS

Descriptive, prospective study of children diagnosed with acquired subglottic stenosis and submitted to balloon laryngoplasty as primary treatment.

RESULTS

Balloon laryngoplasty was performed in 37 children with an average age of 22.5 months; 24 presented chronic subglottic stenosis and 13 acute subglottic stenosis. Success rates were 100% for acute subglottic stenosis and 32% for chronic subglottic stenosis. Success was significantly associated with acute stenosis, initial grade of stenosis, children of a smaller age, and the absence of tracheostomy. Transitory dysphagia was the only complication observed in three children.

CONCLUSION

Balloon laryngoplasty may be considered the first line of treatment for acquired subglottic stenosis. In acute cases, the success rate is 100%, and although the results are less promising in chronic cases, complications are not significant and the possibility of open surgery remains without prejudice.

Authors+Show Affiliations

Hospital de Sumaré, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.Pontifícia Universidade Católica de Goiás (PUC-GO), Goiânia, GO, Brazil; Hospital da Criança de Goiânia, Goiânia, GO, Brazil; Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil. Electronic address: melissa.avelino@uol.com.br.

Pub Type(s)

English Abstract
Journal Article

Language

por

PubMed ID

25303816

Citation

Maunsell, Rebecca, and Melissa A G. Avelino. "[Balloon Laryngoplasty for Acquired Subglottic Stenosis in Children: Predictive Factors for Success]." Brazilian Journal of Otorhinolaryngology, vol. 80, no. 5, 2014, pp. 409-15.
Maunsell R, Avelino MA. [Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success]. Braz J Otorhinolaryngol. 2014;80(5):409-15.
Maunsell, R., & Avelino, M. A. (2014). [Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success]. Brazilian Journal of Otorhinolaryngology, 80(5), pp. 409-15. doi:10.1016/j.bjorl.2014.07.012.
Maunsell R, Avelino MA. [Balloon Laryngoplasty for Acquired Subglottic Stenosis in Children: Predictive Factors for Success]. Braz J Otorhinolaryngol. 2014;80(5):409-15. PubMed PMID: 25303816.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Balloon laryngoplasty for acquired subglottic stenosis in children: predictive factors for success]. AU - Maunsell,Rebecca, AU - Avelino,Melissa A G, Y1 - 2014/07/23/ PY - 2013/12/11/received PY - 2014/05/24/accepted PY - 2014/10/12/entrez PY - 2014/10/12/pubmed PY - 2015/2/24/medline KW - Child KW - Criança KW - Dilatation KW - Dilatação KW - Laringoestenose KW - Laringoplastia KW - Laryngoplasty KW - Laryngostenosis SP - 409 EP - 15 JF - Brazilian journal of otorhinolaryngology JO - Braz J Otorhinolaryngol VL - 80 IS - 5 N2 - INTRODUCTION: The treatment of subglottic stenosis in children remains a challenge for the otorhinolaryngologist, and may involve both endoscopic and open surgery. OBJECTIVE: To report the experience of two tertiary facilities in the treatment of acquired subglottic stenosis in children with balloon laryngoplasty, and to identify predictive factors for success of the technique and its complications. METHODS: Descriptive, prospective study of children diagnosed with acquired subglottic stenosis and submitted to balloon laryngoplasty as primary treatment. RESULTS: Balloon laryngoplasty was performed in 37 children with an average age of 22.5 months; 24 presented chronic subglottic stenosis and 13 acute subglottic stenosis. Success rates were 100% for acute subglottic stenosis and 32% for chronic subglottic stenosis. Success was significantly associated with acute stenosis, initial grade of stenosis, children of a smaller age, and the absence of tracheostomy. Transitory dysphagia was the only complication observed in three children. CONCLUSION: Balloon laryngoplasty may be considered the first line of treatment for acquired subglottic stenosis. In acute cases, the success rate is 100%, and although the results are less promising in chronic cases, complications are not significant and the possibility of open surgery remains without prejudice. SN - 1808-8686 UR - https://www.unboundmedicine.com/medline/citation/25303816/[Balloon_laryngoplasty_for_acquired_subglottic_stenosis_in_children:_predictive_factors_for_success]_ L2 - http://linkinghub.elsevier.com/retrieve/pii/S1808-8694(14)00082-2 DB - PRIME DP - Unbound Medicine ER -