Adjunctive Procedures after Pediatric Single-Stage Laryngotracheoplasty
Objectives: We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series. Methods: Of 31 LTP procedures performed from...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2013-05, Vol.122 (5), p.330-334 |
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| container_title | Annals of otology, rhinology & laryngology |
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| creator | Willis, Elena B. Folk, David Bent, John P. |
| description | Objectives:
We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series.
Methods:
Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates.
Results:
Of the 10 patients with single-stage LTP procedures, 6 patients required a total of 16 postoperative adjunctive airway procedures. The adjunctive procedures included granulation tissue removal with forceps or a carbon dioxide laser, stent placement, mitomycin C application, and triamcinolone acetonide injection. One patient also required tracheotomy placement and, eventually, cricotracheal resection. All 6 patients had significant improvement of subglottic and/or tracheal stenosis on their most recent endoscopic examination. With a minimum follow-up of 12 months, all 6 patients were decannulated.
Conclusions:
In this series, more than half of our pediatric patients who underwent single-stage LTP required 1 or more postoperative adjunctive procedures, and all had successful outcomes. |
| doi_str_mv | 10.1177/000348941312200507 |
| format | Article |
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We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series.
Methods:
Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates.
Results:
Of the 10 patients with single-stage LTP procedures, 6 patients required a total of 16 postoperative adjunctive airway procedures. The adjunctive procedures included granulation tissue removal with forceps or a carbon dioxide laser, stent placement, mitomycin C application, and triamcinolone acetonide injection. One patient also required tracheotomy placement and, eventually, cricotracheal resection. All 6 patients had significant improvement of subglottic and/or tracheal stenosis on their most recent endoscopic examination. With a minimum follow-up of 12 months, all 6 patients were decannulated.
Conclusions:
In this series, more than half of our pediatric patients who underwent single-stage LTP required 1 or more postoperative adjunctive procedures, and all had successful outcomes.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/000348941312200507</identifier><identifier>PMID: 23815050</identifier><identifier>CODEN: AORHA2</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Airway management ; Carbon dioxide ; Child ; Child, Preschool ; Debridement ; Family medical history ; Female ; Granulation Tissue - surgery ; Humans ; Intensive care ; Intubation ; Laryngostenosis - surgery ; Larynx - surgery ; Lasers ; Male ; Otorhinolaryngologic Surgical Procedures - methods ; Patients ; Pediatrics ; Postoperative Complications - surgery ; Reporting requirements ; Stents ; Trachea - surgery</subject><ispartof>Annals of otology, rhinology & laryngology, 2013-05, Vol.122 (5), p.330-334</ispartof><rights>2013 SAGE Publications</rights><rights>Copyright Annals Publishing Company May 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-3f48ddaaf69b73ebfe6f7fff2a15fd6066a78a99b3ec57f631eccd2f7826a1273</citedby><cites>FETCH-LOGICAL-c371t-3f48ddaaf69b73ebfe6f7fff2a15fd6066a78a99b3ec57f631eccd2f7826a1273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000348941312200507$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000348941312200507$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21818,27923,27924,43620,43621</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23815050$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Willis, Elena B.</creatorcontrib><creatorcontrib>Folk, David</creatorcontrib><creatorcontrib>Bent, John P.</creatorcontrib><title>Adjunctive Procedures after Pediatric Single-Stage Laryngotracheoplasty</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Objectives:
We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series.
Methods:
Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates.
Results:
Of the 10 patients with single-stage LTP procedures, 6 patients required a total of 16 postoperative adjunctive airway procedures. The adjunctive procedures included granulation tissue removal with forceps or a carbon dioxide laser, stent placement, mitomycin C application, and triamcinolone acetonide injection. One patient also required tracheotomy placement and, eventually, cricotracheal resection. All 6 patients had significant improvement of subglottic and/or tracheal stenosis on their most recent endoscopic examination. With a minimum follow-up of 12 months, all 6 patients were decannulated.
Conclusions:
In this series, more than half of our pediatric patients who underwent single-stage LTP required 1 or more postoperative adjunctive procedures, and all had successful outcomes.</description><subject>Airway management</subject><subject>Carbon dioxide</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Debridement</subject><subject>Family medical history</subject><subject>Female</subject><subject>Granulation Tissue - surgery</subject><subject>Humans</subject><subject>Intensive care</subject><subject>Intubation</subject><subject>Laryngostenosis - surgery</subject><subject>Larynx - surgery</subject><subject>Lasers</subject><subject>Male</subject><subject>Otorhinolaryngologic Surgical Procedures - methods</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Postoperative Complications - surgery</subject><subject>Reporting requirements</subject><subject>Stents</subject><subject>Trachea - surgery</subject><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kF9LwzAUxYMobk6_gA9S8MWXuvxpm_RxDJ3CwMEUfCtpcjM7unYmqbBvb8qmiOLT5cLvnHvPQeiS4FtCOB9jjFki8oQwQinGKeZHaEjyhMUpp6_HaNgDcU8M0Jlz67AmKaanaECZIGkQDNFsotddo3z1AdHCtgp0Z8FF0niw0QJ0Jb2tVLSsmlUN8dLLFURzaXfNqvVWqjdot7V0fneOToysHVwc5gi93N89Tx_i-dPscTqZx4px4mNmEqG1lCbLS86gNJAZboyhkqRGZzjLJBcyz0sGKuUmYwSU0tRwQTNJKGcjdLP33dr2vQPni03lFNS1bKDtXEFCMpwLynv0-he6bjvbhO8ClVLBuEhEoOieUrZ1zoIptrbahIQFwUVfc_G35iC6Olh35Qb0t-Sr1wCM94ALhf24-7_lJ7fVhUI</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>Willis, Elena B.</creator><creator>Folk, David</creator><creator>Bent, John P.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20130501</creationdate><title>Adjunctive Procedures after Pediatric Single-Stage Laryngotracheoplasty</title><author>Willis, Elena B. ; Folk, David ; Bent, John P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-3f48ddaaf69b73ebfe6f7fff2a15fd6066a78a99b3ec57f631eccd2f7826a1273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Airway management</topic><topic>Carbon dioxide</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Debridement</topic><topic>Family medical history</topic><topic>Female</topic><topic>Granulation Tissue - surgery</topic><topic>Humans</topic><topic>Intensive care</topic><topic>Intubation</topic><topic>Laryngostenosis - surgery</topic><topic>Larynx - surgery</topic><topic>Lasers</topic><topic>Male</topic><topic>Otorhinolaryngologic Surgical Procedures - methods</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Postoperative Complications - surgery</topic><topic>Reporting requirements</topic><topic>Stents</topic><topic>Trachea - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Willis, Elena B.</creatorcontrib><creatorcontrib>Folk, David</creatorcontrib><creatorcontrib>Bent, John P.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Willis, Elena B.</au><au>Folk, David</au><au>Bent, John P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adjunctive Procedures after Pediatric Single-Stage Laryngotracheoplasty</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>122</volume><issue>5</issue><spage>330</spage><epage>334</epage><pages>330-334</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><coden>AORHA2</coden><abstract>Objectives:
We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series.
Methods:
Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates.
Results:
Of the 10 patients with single-stage LTP procedures, 6 patients required a total of 16 postoperative adjunctive airway procedures. The adjunctive procedures included granulation tissue removal with forceps or a carbon dioxide laser, stent placement, mitomycin C application, and triamcinolone acetonide injection. One patient also required tracheotomy placement and, eventually, cricotracheal resection. All 6 patients had significant improvement of subglottic and/or tracheal stenosis on their most recent endoscopic examination. With a minimum follow-up of 12 months, all 6 patients were decannulated.
Conclusions:
In this series, more than half of our pediatric patients who underwent single-stage LTP required 1 or more postoperative adjunctive procedures, and all had successful outcomes.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>23815050</pmid><doi>10.1177/000348941312200507</doi><tpages>5</tpages></addata></record> |
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| ispartof | Annals of otology, rhinology & laryngology, 2013-05, Vol.122 (5), p.330-334 |
| issn | 0003-4894 1943-572X |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Airway management Carbon dioxide Child Child, Preschool Debridement Family medical history Female Granulation Tissue - surgery Humans Intensive care Intubation Laryngostenosis - surgery Larynx - surgery Lasers Male Otorhinolaryngologic Surgical Procedures - methods Patients Pediatrics Postoperative Complications - surgery Reporting requirements Stents Trachea - surgery |
| title | Adjunctive Procedures after Pediatric Single-Stage Laryngotracheoplasty |
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