The significance of post-operative fever following airway reconstruction

Schraff, Scott A.; Brumbaugh, Cheryl; Meinzen‐Derr, Jareen; Willging, J. Paul

doi:10.1016/j.ijporl.2010.02.011

Cited by 3 publications

(2 citation statements)

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“…Postoperative fever seems to be common after airway reconstruction. A study conducted by Schraff et al in 2010 showed that 59% of patients who underwent single-stage LTP had fever postoperatively; however, fever was considered significant (with positive cultures) in only 1/3 of the cases 9 . In our sample, all patients had postoperative fever, which ceased after removal of the ETT.…”

Section: Discussionmentioning

confidence: 99%

Single-stage laryngotracheal reconstruction for the treatment of subglottic stenosis in children

Smith

Schweiger

Manica

et al. 2012

Int Arch Otorhinolaryngol

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Summary Introduction: In recent decades, airway reconstruction has become the treatment of choice for subglottic stenosis (SGS) in children, which is performed in either single or multiple stages. However, there is evidence in the literature that single-stage surgery is more effective. Objective: To evaluate the success rate of single-stage laryngotracheoplasty (LTP) and cricotracheal resection (CTR) in patients that were treated in our hospital. Materials and Method: We performed a retrospective study of children undergoing laryngotracheal reconstruction. Results: Twenty-four children were included. The etiology of SGS was postintubation in 91.6% and congenital in 8.3%. One patient (4.2%) had grade 4 SGS, 17 (70.8%) presented with grade 3 SGS, 4 (16.6%) had grade 2 SGS, 1 (4.2%) had grade 3 SGS associated with glottic stenosis, and 1 (4.2%) had grade 3 SGS with tracheal stenosis. We performed 26 LTPs and 3 CTRs. Decannulation rates were 66% in the CTR procedures and 85.7% in the LTP procedures; the overall decannulation rate was 83.3%. All children presented with fever in the postoperative period, but were afebrile after the tube was removed. Conclusion: Our series showed a decannulation rate of 83.3%.

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Section: Discussionmentioning

confidence: 99%

Single-stage laryngotracheal reconstruction for the treatment of subglottic stenosis in children

Smith

Schweiger

Manica

et al. 2012

Int Arch Otorhinolaryngol

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“…Estudo realizado por Schraff et al, em 2010, mostrou que 59% dos casos de LTP em único estágio apresentaram febre no pós-operatório; porém, ela foi considerada significativa (com culturais positivos) em apenas um terço dos casos (9). Na amostra estudada, todos os pacientes apresentaram febre no pós-operatório, a qual cessou após a remoção do TET.…”

Section: Discussionunclassified

Reconstrução laringotraqueal em único estágio para tratamento de estenose subglótica em crianças

Smith¹,

Schweiger²,

Manica³

et al. 2012

Arq Int Otorrinolaringol

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SUMMARYIntroduction: In recent decades, airway reconstruction has become the treatment of choice for subglottic stenosis (SGS) in children, which is performed in either single or multiple stages. However, there is evidence in the literature that singlestage surgery is more effective. Objective: To evaluate the success rate of single-stage laryngotracheoplasty (LTP) and cricotracheal resection (CTR) in patients that were treated in our hospital. Materials and Method: We performed a retrospective study of children undergoing laryngotracheal reconstruction. Results: Twenty-four children were included. The etiology of SGS was postintubation in 91.6% and congenital in 8.3%. One patient (4.2%) had grade 4 SGS, 17 (70.8%) presented with grade 3 SGS, 4 (16.6%) had grade 2 SGS, 1 (4.2%) had grade 3 SGS associated with glottic stenosis, and 1 (4.2%) had grade 3 SGS with tracheal stenosis. We performed 26 LTPs and 3 CTRs. Decannulation rates were 66% in the CTR procedures and 85.7% in the LTP procedures; the overall decannulation rate was 83.3%. All children presented with fever in the postoperative period, but were afebrile after the tube was removed. Conclusion: Our series showed a decannulation rate of 83.3%.

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