Efficacy of Cricotracheal Stenosis Resection (CTSR) Among Children with Congenital vs. Acquired Sub-glottic Stenosis.

Autor: Alshammari J; Division of Otolaryngology Head & Neck Surgery, King Abdulaziz Medical City (KAMC), King Abdullah Specialized Children Hospital (KASCH), National Guard Health Affairs (NGHA), Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center Riyadh (KAIMRC), Riyadh, Saudi Arabia., Halawani M; Division of Otolaryngology Head & Neck Surgery, King Abdulaziz Medical City (KAMC), King Abdullah Specialized Children Hospital (KASCH), National Guard Health Affairs (NGHA), Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center Riyadh (KAIMRC), Riyadh, Saudi Arabia., Arafat A; Division of Otolaryngology Head & Neck Surgery, King Abdulaziz Medical City (KAMC), King Abdullah Specialized Children Hospital (KASCH), National Guard Health Affairs (NGHA), Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center Riyadh (KAIMRC), Riyadh, Saudi Arabia., Alkhaldi A; Division of Otolaryngology Head & Neck Surgery, King Abdulaziz Medical City (KAMC), King Abdullah Specialized Children Hospital (KASCH), National Guard Health Affairs (NGHA), Riyadh, Saudi Arabia.; King Abdullah International Medical Research Center Riyadh (KAIMRC), Riyadh, Saudi Arabia., Masud N; King Abdullah International Medical Research Center Riyadh (KAIMRC), Riyadh, Saudi Arabia.; Research unit, College of medicine, King Saud bin Abdulaziz University for Health Sciences Riyadh, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2023 Sep; Vol. 75 (3), pp. 1755-1761. Date of Electronic Publication: 2023 Apr 03.
DOI: 10.1007/s12070-023-03731-3
Abstrakt: Sub-glottic Stenosis (SGS) treatment in children is challenging because there is no standard algorithm to follow; however, the use of endoscopic techniques in SGS treatment has emerged over the last decades and has advanced. The aim of this study was to assess the efficacy of Cricotracheal Stenosis Resection (CTSR) among children with congenital vs. acquired SGS. In this retrospective study, we reviewed the charts of 22 patients who underwent endoscopic intervention as the primary modality of treatment for SGS at King Abdulaziz Medical City from January 1, 2011 to October 31, 2019. Successful treatment was defined as: resolution of symptoms, restoration of a normal patent airway with no stenosis, and decannulation. Out of 22 patients, 14 cases were acquired and 8 were congenital SGS. Most of the patients had grade 3 stenosis before surgery 15 (68%), followed by grade 1 stenosis among 4 (18.2%) and grade 2 stenosis was present in 3 (13.6%) patients. Postoperatively, 17 (77.3%) patients improved to grade zero, whereas grade 3 stenosis was not reported in any patient. The Mc-Nemar's test showed significant improvement between pre- and post-operative stenosis grade with test value = 22, and P value = 0.003. This technique was successful among 18 (82%) patients with P value ≤ 0.01. Irrespective of the differences in the age of patients, length, and character of stenosis among congenital and acquired groups, the endoscopic CTSR technique proved to be successful in both groups. We achieved a success rate of 86% in the acquired series, and 75% in the congenital series, which is a very promising result.
(© Association of Otolaryngologists of India 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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