Transoral management of adult benign laryngeal stenosis
| Autor: | Fabiola Incandela, Francesco Mora, Ivana Fiz, Cesare Piazza, Giorgio Peretti, Filippo Marchi, Francesco Missale |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Larynx medicine.medical_specialty CO2 laser Voice Quality Laryngology 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Anesthesiology medicine Humans 030223 otorhinolaryngology Aged Outcome CO 2 laser Endoscopy Stenosis Voice Disorders business.industry Laryngostenosis General Medicine Perioperative Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Lasers Gas Quality of Life Voice Female Laser Therapy Tracheal Stenosis business Laryngeal Stenosis Laryngotracheal stenosis |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| Popis: | Purpose Management of benign laryngeal stenosis (BLS) remains challenging even though transoral treatments in selected cases have shown satisfactory results, at least comparable to open-neck approaches, with reduced invasiveness. To date, no overall consensus has been reached on many issues. The aim of this study is to assess the effectiveness of a purely transoral treatment in a cohort of patients affected by BLS. Methods We evaluated 40 patients affected by BLS, treated by transoral surgery between 2013 and 2017. The European Laryngological Society classification for laryngotracheal stenosis was applied for the staging. Improvement in airway patency and quality of life was assessed by decannulation rate, Airway-Dyspnea-Voice-Swallowing (ADVS) score, Voice handicap index (VHI)-30, and Eating assessment tool (EAT)-10 questionnaires. Results Mean age was 61 years and M:F ratio was 1.4:1. Previous laryngeal surgery was the most common cause of stenosis (50%), followed by radiotherapy (20%), idiopathic etiology (12%), granulomatosis with polyangiitis (10%), and prolonged intubation (8%). Transoral treatment entailed an improvement in quality of life with a significant decrease in the VHI score (p p = 0.008), Dyspnea (p p N = 16) was 63%. Conclusions Transoral treatment of selected BLS managed by a team with high-level expertise in surgery and anesthesiology is associated with significant improvement of quality of life, especially with regard to voice and breathing functions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|