2010
DOI: 10.1016/j.ijporl.2009.11.012
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Supraglottoplasty outcomes in relation to age and comorbid conditions

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Cited by 69 publications
(104 citation statements)
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References 15 publications
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“…A similar trend of older patients has been reported. 5 The success rate of SGP in patients with a neurologic comorbidity in the present study was 74% and, although significantly higher tracheostomy rates were identified in patients with cerebral palsy, only 2 of 31 patients (6%) in the neurologic comorbidity group required tracheostomy. Higher tracheostomy rates (eg, 55% 4 and 60% 5 ) were not seen.…”
Section: Neurologic Comorbiditiescontrasting
confidence: 45%
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“…A similar trend of older patients has been reported. 5 The success rate of SGP in patients with a neurologic comorbidity in the present study was 74% and, although significantly higher tracheostomy rates were identified in patients with cerebral palsy, only 2 of 31 patients (6%) in the neurologic comorbidity group required tracheostomy. Higher tracheostomy rates (eg, 55% 4 and 60% 5 ) were not seen.…”
Section: Neurologic Comorbiditiescontrasting
confidence: 45%
“…We therefore stratified patients based on age to evaluate the patterns of presentation of LM. Age-based stratification was attempted by Hoff and colleagues, 5 who reported that patients younger than 2 months may have a higher incidence of SGP failure, even in the absence of comorbidities. Infants in both groups mainly presented with acute airway obstruction.…”
Section: Age At Presentationmentioning
confidence: 99%
“…Our overall success rate was 87%, the results in children without associated neurologic anomalies being better, with resolution in 96%. Nevertheless, children with comorbidities, particularly those with neurologic anomalies, seem to be at higher risk for treatment failure [17][18][19][20][21]. The literature regarding those patients is scarce, rendering their analysis difficult.…”
Section: Discussionmentioning
confidence: 99%
“…In the same study, only 2 of 41 neurologically intact children required further surgery, both of whom had mandibular hypoplasia. A similar study by Hoff et al 3 revealed that 7 of 10 children with neurologic deficits who underwent supraglottoplasty required further surgical intervention, 6 of whom ultimately required tracheotomy. Our study has several limitations.…”
Section: Discussionmentioning
confidence: 81%
“…[1][2][3][4][5][6][7] Advances in surgical management of subglottic stenosis have produced high rates of successful decannulation; however, children with neurologic deficit and upper airway obstruction do not achieve the same outcomes as unaffected children undergoing similar surgeries. [3][4][5] Dynamic obstruction of the pharyngeal and laryngeal airway is common in infants and in older children with hypotonia. A 2005 study of children with obstructive sleep apnea demonstrated that dynamic airway collapse in infants without neurologic deficits decreased progressively as those children aged.…”
mentioning
confidence: 99%