Cargando…
Outcomes of balloon dilation for paediatric laryngeal stenosis
OBJECTIVE: Balloon dilation (BD) is a minimally invasive endoscopic treatment for paediatric laryngeal stenosis (LS) with reduced morbidity compared to open surgery. We retrospectively describe our experience in a cohort of children with chronic LS. METHODS: Fourteen children (median age: 28.5; rang...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Pacini Editore Srl
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726638/ https://www.ncbi.nlm.nih.gov/pubmed/33299226 http://dx.doi.org/10.14639/0392-100X-N0830 |
_version_ | 1783620923748777984 |
---|---|
author | Cantarella, Giovanna Gaffuri, Michele Torretta, Sara Neri, Simona Ambrosini, Maria Teresa D’Onghia, Alessandra Pignataro, Lorenzo Sandu, Kishore |
author_facet | Cantarella, Giovanna Gaffuri, Michele Torretta, Sara Neri, Simona Ambrosini, Maria Teresa D’Onghia, Alessandra Pignataro, Lorenzo Sandu, Kishore |
author_sort | Cantarella, Giovanna |
collection | PubMed |
description | OBJECTIVE: Balloon dilation (BD) is a minimally invasive endoscopic treatment for paediatric laryngeal stenosis (LS) with reduced morbidity compared to open surgery. We retrospectively describe our experience in a cohort of children with chronic LS. METHODS: Fourteen children (median age: 28.5; range: 2-81 months) with chronic LS (multilevel in 8) were treated with tubeless total intravenous anaesthesia under spontaneous ventilation. RESULTS: Grade III LS was preoperatively detected in 12 children; the remaining 2 had grade IV stenosis. Six had prior tracheotomy, and one received it during the first intervention. Dilation laryngoplasty was the primary treatment in 11 children and was used as an adjuvant treatment in 3 after open reconstructive surgery. The median number of dilations was 2 (range: 1-6). There were no postoperative complications. At the end of the follow-up (median: 20.5; range: 2-46 months), detectable laryngeal lumen widening and/or respiratory improvement occurred in 12 children. Two of 7 patients with tracheostomy were decannulated. CONCLUSIONS: Balloon laryngoplasty is a valuable therapeutic option to improve laryngeal patency in children with chronic multilevel LS, both as a primary and secondary adjuvant treatment after reconstructive surgery. |
format | Online Article Text |
id | pubmed-7726638 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Pacini Editore Srl |
record_format | MEDLINE/PubMed |
spelling | pubmed-77266382020-12-17 Outcomes of balloon dilation for paediatric laryngeal stenosis Cantarella, Giovanna Gaffuri, Michele Torretta, Sara Neri, Simona Ambrosini, Maria Teresa D’Onghia, Alessandra Pignataro, Lorenzo Sandu, Kishore Acta Otorhinolaryngol Ital Laryngology OBJECTIVE: Balloon dilation (BD) is a minimally invasive endoscopic treatment for paediatric laryngeal stenosis (LS) with reduced morbidity compared to open surgery. We retrospectively describe our experience in a cohort of children with chronic LS. METHODS: Fourteen children (median age: 28.5; range: 2-81 months) with chronic LS (multilevel in 8) were treated with tubeless total intravenous anaesthesia under spontaneous ventilation. RESULTS: Grade III LS was preoperatively detected in 12 children; the remaining 2 had grade IV stenosis. Six had prior tracheotomy, and one received it during the first intervention. Dilation laryngoplasty was the primary treatment in 11 children and was used as an adjuvant treatment in 3 after open reconstructive surgery. The median number of dilations was 2 (range: 1-6). There were no postoperative complications. At the end of the follow-up (median: 20.5; range: 2-46 months), detectable laryngeal lumen widening and/or respiratory improvement occurred in 12 children. Two of 7 patients with tracheostomy were decannulated. CONCLUSIONS: Balloon laryngoplasty is a valuable therapeutic option to improve laryngeal patency in children with chronic multilevel LS, both as a primary and secondary adjuvant treatment after reconstructive surgery. Pacini Editore Srl 2020-10 /pmc/articles/PMC7726638/ /pubmed/33299226 http://dx.doi.org/10.14639/0392-100X-N0830 Text en Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en |
spellingShingle | Laryngology Cantarella, Giovanna Gaffuri, Michele Torretta, Sara Neri, Simona Ambrosini, Maria Teresa D’Onghia, Alessandra Pignataro, Lorenzo Sandu, Kishore Outcomes of balloon dilation for paediatric laryngeal stenosis |
title | Outcomes of balloon dilation for paediatric laryngeal stenosis |
title_full | Outcomes of balloon dilation for paediatric laryngeal stenosis |
title_fullStr | Outcomes of balloon dilation for paediatric laryngeal stenosis |
title_full_unstemmed | Outcomes of balloon dilation for paediatric laryngeal stenosis |
title_short | Outcomes of balloon dilation for paediatric laryngeal stenosis |
title_sort | outcomes of balloon dilation for paediatric laryngeal stenosis |
topic | Laryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7726638/ https://www.ncbi.nlm.nih.gov/pubmed/33299226 http://dx.doi.org/10.14639/0392-100X-N0830 |
work_keys_str_mv | AT cantarellagiovanna outcomesofballoondilationforpaediatriclaryngealstenosis AT gaffurimichele outcomesofballoondilationforpaediatriclaryngealstenosis AT torrettasara outcomesofballoondilationforpaediatriclaryngealstenosis AT nerisimona outcomesofballoondilationforpaediatriclaryngealstenosis AT ambrosinimariateresa outcomesofballoondilationforpaediatriclaryngealstenosis AT donghiaalessandra outcomesofballoondilationforpaediatriclaryngealstenosis AT pignatarolorenzo outcomesofballoondilationforpaediatriclaryngealstenosis AT sandukishore outcomesofballoondilationforpaediatriclaryngealstenosis |