A comparative study of cricotracheal resection and staged laryngotracheoplasty for adult subglottic stenosis
© The Author(s) 2014..
OBJECTIVE: Cricotracheal resection (CTR) and laryngotracheoplasty (LTP) are open surgical treatments for severe subglottic stenosis. This study aims to compare the applications and outcomes of these techniques.
METHOD: Patients with subglottic stenosis at a tertiary academic institution from 2000 to 2012 were identified by diagnosis codes. Patients who underwent LTP or CTR were included. Records were reviewed for treatment data and outcomes. Patients with a history of head and neck malignancy or stenosis without cricoid involvement were excluded.
RESULT: Sixty-one and 20 patients underwent LTP and CTR, respectively. When comparing patients receiving LTP and CTR, there was a significant difference in stenosis etiology (P=.014). The groups were similar in Cotton-Myer grade (P=.102). At last follow-up, 80.3% of LTP patients and 90.0% of CTR patients were decannulated. On multivariate analysis, there was a significant association between stenosis grade and decannulation in the LTP group (P=.01). Decannulation was not associated with stenosis grade in the CTR group. In both groups, there was no significant association between decannulation and sex, stenosis etiology, or stenosis length.
CONCLUSION: Cricotracheal resection and LTP have both shown excellent long-term decannulation rates. Etiology and stenosis grade are likely to be determining factors when recommending specific surgical interventions for subglottic stenosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:124 |
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| Enthalten in: |
The Annals of otology, rhinology, and laryngology - 124(2015), 4 vom: 15. Apr., Seite 326-33 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ching, Harry H [VerfasserIn] |
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| Links: |
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| Themen: |
Acquired subglottic stenosis |
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| Anmerkungen: |
Date Completed 08.09.2015 Date Revised 07.12.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/0003489414554942 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM242788505 |
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| 100 | 1 | |a Ching, Harry H |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A comparative study of cricotracheal resection and staged laryngotracheoplasty for adult subglottic stenosis |
| 264 | 1 | |c 2015 | |
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| 500 | |a Date Completed 08.09.2015 | ||
| 500 | |a Date Revised 07.12.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2014. | ||
| 520 | |a OBJECTIVE: Cricotracheal resection (CTR) and laryngotracheoplasty (LTP) are open surgical treatments for severe subglottic stenosis. This study aims to compare the applications and outcomes of these techniques | ||
| 520 | |a METHOD: Patients with subglottic stenosis at a tertiary academic institution from 2000 to 2012 were identified by diagnosis codes. Patients who underwent LTP or CTR were included. Records were reviewed for treatment data and outcomes. Patients with a history of head and neck malignancy or stenosis without cricoid involvement were excluded | ||
| 520 | |a RESULT: Sixty-one and 20 patients underwent LTP and CTR, respectively. When comparing patients receiving LTP and CTR, there was a significant difference in stenosis etiology (P=.014). The groups were similar in Cotton-Myer grade (P=.102). At last follow-up, 80.3% of LTP patients and 90.0% of CTR patients were decannulated. On multivariate analysis, there was a significant association between stenosis grade and decannulation in the LTP group (P=.01). Decannulation was not associated with stenosis grade in the CTR group. In both groups, there was no significant association between decannulation and sex, stenosis etiology, or stenosis length | ||
| 520 | |a CONCLUSION: Cricotracheal resection and LTP have both shown excellent long-term decannulation rates. Etiology and stenosis grade are likely to be determining factors when recommending specific surgical interventions for subglottic stenosis | ||
| 650 | 4 | |a Comparative Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a acquired subglottic stenosis | |
| 650 | 4 | |a cricotracheal resection | |
| 650 | 4 | |a laryngotracheoplasty | |
| 700 | 1 | |a Mendelsohn, Abie H |e verfasserin |4 aut | |
| 700 | 1 | |a Liu, Isabelle Y |e verfasserin |4 aut | |
| 700 | 1 | |a Long, Jennifer |e verfasserin |4 aut | |
| 700 | 1 | |a Chhetri, Dinesh K |e verfasserin |4 aut | |
| 700 | 1 | |a Berke, Gerald S |e verfasserin |4 aut | |
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