Systematic review for surgical treatment of adult and adolescent laryngotracheal stenosis
| Autor: | Sean Lewis, Marisa Earley, Joshua B. Silverman, Richard M. Rosenfeld |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent medicine.medical_treatment Anastomosis Resection 03 medical and health sciences 0302 clinical medicine medicine Humans Intubation 030223 otorhinolaryngology Surgical treatment business.industry Laryngostenosis medicine.disease Laryngotracheal resection Otorhinolaryngologic Surgical Procedures Surgery Stenosis Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia Etiology Tracheal Stenosis business Laryngotracheal stenosis |
| Zdroj: | The Laryngoscope. 127:191-198 |
| ISSN: | 1531-4995 0023-852X |
| DOI: | 10.1002/lary.26151 |
| Popis: | Objectives/Hypothesis To determine if open surgical treatment options for adult and adolescent laryngotracheal stenosis are more successful than endoscopic procedures. Study Design Systematic review. Methods Embase and MEDLINE were searched for publications on adult and adolescent patients (>13 years old) with laryngotracheal stenosis. Cause of stenosis (intubation, idiopathic, or trauma) and treatments (open laryngotracheal resection with anastomosis, open laryngotracheal reconstruction with expansion grafting, or endoscopic procedures) were included. Primary outcomes are decreased additional surgery performed and success of decannulation, if previously tracheostomy. Results There were 297 abstracts reviewed, 104 articles selected for full-text review, and 39 articles, with 834 pooled patients, included in the analysis. Patients who had an open procedure (resection with anastomosis or reconstruction with expansion grafting) had significantly different outcomes rates; 32% versus 38% (P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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