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Flexible CO2 Laser Treatment for Subglottic Stenosis.
J Craniofac Surg. 2017 Jun; 28(4):983-984.JC

Abstract

OBJECTIVES

To assess the efficacy and safety of flexible fiber CO2 laser surgery for subglottic stenosis and to present retrospective experience of 14 patients treated with flexible fiber CO2 laser system. To determine the characteristics, management protocols, prognostic factors, and postoperative outcomes of the sample.

METHODS

Retrospective review of patients with subglottic stenosis undergoing flexible fiber CO2 laser surgery at the tertiary medical center. All demographic and clinical data were collected, radiologic and endoscopic evaluations were performed to assess the characteristics of stenosis. Myer-Cotton grading scale was used for classification of stenotic area.

RESULTS

All patients have subglottic stenosis due to intubation-related causes and inappropriate tracheostomy procedure. The duration of intubation period ranged from 15 days to 4 years; 11 patients have grade III stenosis according to Myer-Cotton system and there was cricoid involvement in 2 patients. The mean follow-up period was 5.2 months and postoperative decannulation was achieved in 10 patients (71.4%).

CONCLUSIONS

Subglottic stenosis is the difficult situation to manage minimal invasively. Flexible fiber CO2 laser surgery is safe and effective in the management of properly selected patients and can be used as a first option for patients.

Authors+Show Affiliations

*Department of Otolaryngology, Istanbul Medipol University, Istanbul †Department of Otolaryngology, Yunus Emre State Hospital, Eskisehir, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28277485

Citation

Cevizci, Rasit, et al. "Flexible CO2 Laser Treatment for Subglottic Stenosis." The Journal of Craniofacial Surgery, vol. 28, no. 4, 2017, pp. 983-984.
Cevizci R, Dilci A, Can IH, et al. Flexible CO2 Laser Treatment for Subglottic Stenosis. J Craniofac Surg. 2017;28(4):983-984.
Cevizci, R., Dilci, A., Can, I. H., Kersin, B., & Bayazit, Y. (2017). Flexible CO2 Laser Treatment for Subglottic Stenosis. The Journal of Craniofacial Surgery, 28(4), 983-984. https://doi.org/10.1097/SCS.0000000000003549
Cevizci R, et al. Flexible CO2 Laser Treatment for Subglottic Stenosis. J Craniofac Surg. 2017;28(4):983-984. PubMed PMID: 28277485.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Flexible CO2 Laser Treatment for Subglottic Stenosis. AU - Cevizci,Rasit, AU - Dilci,Alper, AU - Can,Ilknur Haberal, AU - Kersin,Burak, AU - Bayazit,Yildirim, PY - 2017/3/10/pubmed PY - 2018/2/14/medline PY - 2017/3/10/entrez SP - 983 EP - 984 JF - The Journal of craniofacial surgery JO - J Craniofac Surg VL - 28 IS - 4 N2 - OBJECTIVES: To assess the efficacy and safety of flexible fiber CO2 laser surgery for subglottic stenosis and to present retrospective experience of 14 patients treated with flexible fiber CO2 laser system. To determine the characteristics, management protocols, prognostic factors, and postoperative outcomes of the sample. METHODS: Retrospective review of patients with subglottic stenosis undergoing flexible fiber CO2 laser surgery at the tertiary medical center. All demographic and clinical data were collected, radiologic and endoscopic evaluations were performed to assess the characteristics of stenosis. Myer-Cotton grading scale was used for classification of stenotic area. RESULTS: All patients have subglottic stenosis due to intubation-related causes and inappropriate tracheostomy procedure. The duration of intubation period ranged from 15 days to 4 years; 11 patients have grade III stenosis according to Myer-Cotton system and there was cricoid involvement in 2 patients. The mean follow-up period was 5.2 months and postoperative decannulation was achieved in 10 patients (71.4%). CONCLUSIONS: Subglottic stenosis is the difficult situation to manage minimal invasively. Flexible fiber CO2 laser surgery is safe and effective in the management of properly selected patients and can be used as a first option for patients. SN - 1536-3732 UR - https://www.unboundmedicine.com/medline/citation/28277485/Flexible_CO2_Laser_Treatment_for_Subglottic_Stenosis_ L2 - http://dx.doi.org/10.1097/SCS.0000000000003549 DB - PRIME DP - Unbound Medicine ER -