Subglottic stenosis in children: management and experience over
15 years at a tertiary center

J 2021

Subglottic stenosis in children: management and experience over 15 years at a tertiary center

URÍK, Milan, Táňa NOVOTNÁ, Michaela MÁCHALOVÁ, Ivo ŠLAPÁK, Josef MACHAČ et. al.

Basic information

Original name

Subglottic stenosis in children: management and experience over 15 years at a tertiary center

Authors

URÍK, Milan (703 Slovakia, guarantor, belonging to the institution), Táňa NOVOTNÁ (203 Czech Republic, belonging to the institution), Michaela MÁCHALOVÁ (203 Czech Republic, belonging to the institution), Ivo ŠLAPÁK (203 Czech Republic, belonging to the institution), Josef MACHAČ (203 Czech Republic, belonging to the institution), Jana JANČÍKOVÁ (203 Czech Republic, belonging to the institution), Michal JURAJDA (203 Czech Republic, belonging to the institution), Jozef KLUČKA (703 Slovakia, belonging to the institution), Petr ŠTOURAČ (203 Czech Republic, belonging to the institution) and Petr JABANDŽIEV (203 Czech Republic, belonging to the institution)

Edition

B-ENT, SISLI, AVES, 2021, 1781-782X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30206 Otorhinolaryngology

Country of publisher

Turkey

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 0.390

RIV identification code

RIV/00216224:14110/21:00123226

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.5152/B-ENT.2021.21438

UT WoS

000723003900006

Keywords in English

Children; management; subglotic stenosis; tracheostomy; treatment

Abstract

V originále

Objective: To evaluate the management and outcomes of children with subglottic stenosis (SGS) at a pediatric tertiary center over 15 years. Methods: The analysis included all the patients diagnosed with SGS during 2004 through 2018. Data were analyzed for age, sex, grade of stenosis, numbers and types of intervention, tracheostomy, comorbidities, follow-up, complications, and treatment outcomes. Results: In this period, we treated 16 children (2 girls and 14 boys) with SGS, seven with acute SGS and nine with chronic SGS. Evaluated on the Myer-Cotton scale, nine (56%) patients had grade I, two (13%) had grade II, four (25%) had grade III, and one (6%) had grade IV SGS. Tracheostomy was performed in 13 (81%) patients. Microlaryngoscopy was performed a median nine times in patients with acute SGS and seven times in patients with chronic SGS. Eight of the 16 patients underwent successful decannulation, two patients have a tracheostomy to this time, and two patients died. Conclusion: We observed no patients with congenital SGS. We observed no statistically significant differences in the numbers of laryngoscopies, dilatations, and endotracheal intubations between patients with acute and chronic SGS. We observed no statistically significant relationship between the grade of stenosis and length of intubation. We observed no statistically significant difference between patients with acute and chronic SGS in the length of therapy. Early microlaryngoscopy with dilatation of stenosis using either bougie or balloon appears to be effective.

Citovat

URÍK, Milan, Táňa NOVOTNÁ, Michaela MÁCHALOVÁ, Ivo ŠLAPÁK, Josef MACHAČ, Jana JANČÍKOVÁ, Michal JURAJDA, Jozef KLUČKA, Petr ŠTOURAČ and Petr JABANDŽIEV. Subglottic stenosis in children: management and experience over 15 years at a tertiary center. B-ENT. SISLI: AVES, 2021, vol. 17, No 3, p. 164-168. ISSN 1781-782X. Available from: https://dx.doi.org/10.5152/B-ENT.2021.21438.

@article{1809317,
   author = {Urík, Milan and Novotná, Táňa and Máchalová, Michaela and Šlapák, Ivo and Machač, Josef and Jančíková, Jana and Jurajda, Michal and Klučka, Jozef and Štourač, Petr and Jabandžiev, Petr},
   article_location = {SISLI},
   article_number = {3},
   doi = {http://dx.doi.org/10.5152/B-ENT.2021.21438},
   keywords = {Children; management; subglotic stenosis; tracheostomy; treatment},
   language = {eng},
   issn = {1781-782X},
   journal = {B-ENT},
   title = {Subglottic stenosis in children: management and experience over 15 years at a tertiary center},
   url = {http://www.b-ent.be/en/subglottic-stenosis-in-children-management-and-experience-over-15-years-at-a-tertiary-center-131034#},
   volume = {17},
   year = {2021}
}

TY  - JOUR
ID  - 1809317
AU  - Urík, Milan - Novotná, Táňa - Máchalová, Michaela - Šlapák, Ivo - Machač, Josef - Jančíková, Jana - Jurajda, Michal - Klučka, Jozef - Štourač, Petr - Jabandžiev, Petr
PY  - 2021
TI  - Subglottic stenosis in children: management and experience over 15 years at a tertiary center
JF  - B-ENT
VL  - 17
IS  - 3
SP  - 164-168
EP  - 164-168
PB  - AVES
SN  - 1781782X
KW  - Children
KW  - management
KW  - subglotic stenosis
KW  - tracheostomy
KW  - treatment
UR  - http://www.b-ent.be/en/subglottic-stenosis-in-children-management-and-experience-over-15-years-at-a-tertiary-center-131034#
N2  - Objective: To evaluate the management and outcomes of children with subglottic stenosis (SGS) at a pediatric tertiary center over 15 years. Methods: The analysis included all the patients diagnosed with SGS during 2004 through 2018. Data were analyzed for age, sex, grade of stenosis, numbers and types of intervention, tracheostomy, comorbidities, follow-up, complications, and treatment outcomes. Results: In this period, we treated 16 children (2 girls and 14 boys) with SGS, seven with acute SGS and nine with chronic SGS. Evaluated on the Myer-Cotton scale, nine (56%) patients had grade I, two (13%) had grade II, four (25%) had grade III, and one (6%) had grade IV SGS. Tracheostomy was performed in 13 (81%) patients. Microlaryngoscopy was performed a median nine times in patients with acute SGS and seven times in patients with chronic SGS. Eight of the 16 patients underwent successful decannulation, two patients have a tracheostomy to this time, and two patients died. Conclusion: We observed no patients with congenital SGS. We observed no statistically significant differences in the numbers of laryngoscopies, dilatations, and endotracheal intubations between patients with acute and chronic SGS. We observed no statistically significant relationship between the grade of stenosis and length of intubation. We observed no statistically significant difference between patients with acute and chronic SGS in the length of therapy. Early microlaryngoscopy with dilatation of stenosis using either bougie or balloon appears to be effective.
ER  -

URÍK, Milan, Táňa NOVOTNÁ, Michaela MÁCHALOVÁ, Ivo ŠLAPÁK, Josef MACHAČ, Jana JANČÍKOVÁ, Michal JURAJDA, Jozef KLUČKA, Petr ŠTOURAČ and Petr JABANDŽIEV. Subglottic stenosis in children: management and experience over 15 years at a tertiary center. \textit{B-ENT}. SISLI: AVES, 2021, vol.~17, No~3, p.~164-168. ISSN~1781-782X. Available from: https://dx.doi.org/10.5152/B-ENT.2021.21438.

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