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Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy.
Front Pediatr. 2020; 8:161.FP

Abstract

Background:

Following tracheal intubation, some children may develop stridor, which is an indication of an obstructive lesion in the airway, such as an ongoing laryngeal stenosis (LS). This review focuses on evaluation of stridor and possible endoscopic predictors of progression to LS and, once post-intubation acute lesions are established, therapeutic choices to manage this disorder in avoidance of tracheostomy. Tracheostomy, due to its inherent increased morbidity, mortality and influence on social stigma, should be viewed only as a last resort. In this article, available conservative and alternative therapies for ongoing LS are thoroughly reviewed.

Methods:

A systematic review concerning randomized clinical trials and prospective studies on treatment modalities for LS was performed. A search strategy was developed for MEDLINE comprising terms related to disease, intervention and population. Title and abstract from captured references were peer-reviewed for eligibility. Selected studies full-texts were peer-reviewed and the results were compiled in a structured and narrative review. Stridor evaluation and post-extubation acute lesion classification were studied. Treatments such as balloon dilation, rigid dilation, corticosteroid-coated small tube intubation, and corticosteroid nebulization were described and evidence supporting their usage was discussed.

Authors+Show Affiliations

Otolaryngology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.Otolaryngology Department, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Pub Type(s)

Systematic Review

Language

eng

PubMed ID

32351919

Citation

Schweiger, Cláudia, and Denise Manica. "Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy." Frontiers in Pediatrics, vol. 8, 2020, p. 161.
Schweiger C, Manica D. Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy. Front Pediatr. 2020;8:161.
Schweiger, C., & Manica, D. (2020). Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy. Frontiers in Pediatrics, 8, 161. https://doi.org/10.3389/fped.2020.00161
Schweiger C, Manica D. Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy. Front Pediatr. 2020;8:161. PubMed PMID: 32351919.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy. AU - Schweiger,Cláudia, AU - Manica,Denise, Y1 - 2020/04/15/ PY - 2019/09/21/received PY - 2020/03/20/accepted PY - 2020/5/1/entrez PY - 2020/5/1/pubmed PY - 2020/5/1/medline KW - acute lesions KW - airway stenosis KW - intubation KW - laryngoplasty KW - larynx SP - 161 EP - 161 JF - Frontiers in pediatrics JO - Front Pediatr VL - 8 N2 - Background: Following tracheal intubation, some children may develop stridor, which is an indication of an obstructive lesion in the airway, such as an ongoing laryngeal stenosis (LS). This review focuses on evaluation of stridor and possible endoscopic predictors of progression to LS and, once post-intubation acute lesions are established, therapeutic choices to manage this disorder in avoidance of tracheostomy. Tracheostomy, due to its inherent increased morbidity, mortality and influence on social stigma, should be viewed only as a last resort. In this article, available conservative and alternative therapies for ongoing LS are thoroughly reviewed. Methods: A systematic review concerning randomized clinical trials and prospective studies on treatment modalities for LS was performed. A search strategy was developed for MEDLINE comprising terms related to disease, intervention and population. Title and abstract from captured references were peer-reviewed for eligibility. Selected studies full-texts were peer-reviewed and the results were compiled in a structured and narrative review. Stridor evaluation and post-extubation acute lesion classification were studied. Treatments such as balloon dilation, rigid dilation, corticosteroid-coated small tube intubation, and corticosteroid nebulization were described and evidence supporting their usage was discussed. SN - 2296-2360 UR - https://www.unboundmedicine.com/medline/citation/32351919/Ongoing_Laryngeal_Stenosis:_Conservative_Management_and_Alternatives_to_Tracheostomy L2 - https://doi.org/10.3389/fped.2020.00161 DB - PRIME DP - Unbound Medicine ER -
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