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Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review

OBJECTIVES: Laryngotracheal stenosis is a rare condition characterized by upper airway narrowing. Reconstructive surgical treatment aims to manage the area of stenosis to improve dyspnea and can impact voice and swallowing function. This article critically evaluates the literature about voice and sw...

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Autores principales: Clunie, Gemma M., Roe, Justin W. G., Alexander, Caroline, Sandhu, Gurpreet, McGregor, Alison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754401/
https://www.ncbi.nlm.nih.gov/pubmed/31943240
http://dx.doi.org/10.1002/lary.28494
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author Clunie, Gemma M.
Roe, Justin W. G.
Alexander, Caroline
Sandhu, Gurpreet
McGregor, Alison
author_facet Clunie, Gemma M.
Roe, Justin W. G.
Alexander, Caroline
Sandhu, Gurpreet
McGregor, Alison
author_sort Clunie, Gemma M.
collection PubMed
description OBJECTIVES: Laryngotracheal stenosis is a rare condition characterized by upper airway narrowing. Reconstructive surgical treatment aims to manage the area of stenosis to improve dyspnea and can impact voice and swallowing function. This article critically evaluates the literature about voice and swallowing outcomes in adults with laryngotracheal stenosis who undergo reconstructive surgery. STUDY DESIGN: Systematic review. METHODS: Six databases were searched for articles referring to voice and swallowing outcome measures following reconstruction procedures in adults with laryngotracheal stenosis. Screening was completed using predefined inclusion/exclusion criteria. RESULTS: A total of 143 abstracts were reviewed, with 67 articles selected for full‐text review. Twenty studies met the inclusion criteria. Data extraction was completed with the Strengthening Reporting of Observational Studies in Epidemiology checklist with Oxford Centre for Evidence‐Based Medicine Level of Evidence used to indicate quality. Risk of bias was assessed using the Risk of Bias Assessment Tool for Non‐Randomized Studies. All studies scored a high risk of bias in at least one of the domains. Selection and timing of outcome measures was heterogenous, and there was limited information provided about rationale or reliability. CONCLUSIONS: The literature acknowledges the importance of voice and swallowing outcomes following airway reconstruction. Studies show correlation between reconstructive surgery and deterioration in vocal function; there are no consistent data about swallowing outcomes. The lack of a core outcome measures set for adults with laryngotracheal stenosis limits the findings of this review. Further research is needed to establish clear criteria for robust and clinically relevant outcome measurement. Laryngoscope, 131:146–157, 2021
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spelling pubmed-77544012020-12-23 Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review Clunie, Gemma M. Roe, Justin W. G. Alexander, Caroline Sandhu, Gurpreet McGregor, Alison Laryngoscope Laryngology OBJECTIVES: Laryngotracheal stenosis is a rare condition characterized by upper airway narrowing. Reconstructive surgical treatment aims to manage the area of stenosis to improve dyspnea and can impact voice and swallowing function. This article critically evaluates the literature about voice and swallowing outcomes in adults with laryngotracheal stenosis who undergo reconstructive surgery. STUDY DESIGN: Systematic review. METHODS: Six databases were searched for articles referring to voice and swallowing outcome measures following reconstruction procedures in adults with laryngotracheal stenosis. Screening was completed using predefined inclusion/exclusion criteria. RESULTS: A total of 143 abstracts were reviewed, with 67 articles selected for full‐text review. Twenty studies met the inclusion criteria. Data extraction was completed with the Strengthening Reporting of Observational Studies in Epidemiology checklist with Oxford Centre for Evidence‐Based Medicine Level of Evidence used to indicate quality. Risk of bias was assessed using the Risk of Bias Assessment Tool for Non‐Randomized Studies. All studies scored a high risk of bias in at least one of the domains. Selection and timing of outcome measures was heterogenous, and there was limited information provided about rationale or reliability. CONCLUSIONS: The literature acknowledges the importance of voice and swallowing outcomes following airway reconstruction. Studies show correlation between reconstructive surgery and deterioration in vocal function; there are no consistent data about swallowing outcomes. The lack of a core outcome measures set for adults with laryngotracheal stenosis limits the findings of this review. Further research is needed to establish clear criteria for robust and clinically relevant outcome measurement. Laryngoscope, 131:146–157, 2021 John Wiley & Sons, Inc. 2020-01-13 2021-01 /pmc/articles/PMC7754401/ /pubmed/31943240 http://dx.doi.org/10.1002/lary.28494 Text en © 2020 The Authors. The Laryngoscope published by Wiley Periodicals, Inc. on behalf of The American Laryngological, Rhinological and Otological Society, Inc. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Laryngology
Clunie, Gemma M.
Roe, Justin W. G.
Alexander, Caroline
Sandhu, Gurpreet
McGregor, Alison
Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title_full Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title_fullStr Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title_full_unstemmed Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title_short Voice and Swallowing Outcomes Following Airway Reconstruction in Adults: A Systematic Review
title_sort voice and swallowing outcomes following airway reconstruction in adults: a systematic review
topic Laryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7754401/
https://www.ncbi.nlm.nih.gov/pubmed/31943240
http://dx.doi.org/10.1002/lary.28494
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