Ventilation in patients with a tracheal tumor

Dikkers, Frederik G.; Krenz, Grita; Slebos, Dirk‐Jan; Eindhoven, G. B.

doi:10.1007/s00405-014-2999-1

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“…In contrast, 80 % of patients in the study of Denoyelle et al [ 12 ], with a reported rate of 3.7 % laryngeal stenosis, were operated using cold steel micro-instruments. Other factors, like the application of dexamethasone or supraglottic high frequency jet ventilation (SHFJV) [ 32 ], which improves surgical precision by providing good exposure of the operating area, might have also contributed to our low complication rate.…”

Section: Discussionmentioning

confidence: 99%

Treatment outcome of supraglottoplasty vs. wait-and-see policy in patients with laryngomalacia

Heijden

Dikkers

Halmos

2016

Eur Arch Otorhinolaryngol

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In most cases, laryngomalacia presents as a mild disease, and the symptoms resolve after wait-and-see policy. Up to 20 % of patients present with severe laryngomalacia and may require surgery (i.e. supraglottoplasty); however, the indication for surgery is not firmly established yet. The goal of this study is to determine whether supraglottoplasty results in a better outcome than wait-and-see and to investigate how different comorbidities influence outcome. A retrospective study of pediatric cases of in a tertiary referral center was performed. Photo and video documentation was available and revised in all cases. Electronic and paper charts were reviewed for the following variables: gender, sex, gestational age, birth weight, symptoms, comorbidity, date of endoscopy, severity and type of laryngomalacia, treatment modality and technique and follow-up data and a total 89 patients were included. Supraglottoplasty was found to lead to significantly faster complete improvement of laryngomalacia than wait-and-see policy (5 weeks vs. 29, p = 0.026). Synchronous airway lesions (SALs) were present in 40.4 % of patients and were associated with prolonged symptoms of laryngomalacia (38.5 weeks vs. 14.5, p = 0.043). Supraglottoplasty is safe and effective in treatment of severe laryngomalacia. SALs and comorbidities are frequently found in patients with laryngomalacia and are responsible for longer onset of complaints.Electronic supplementary materialThe online version of this article (doi:10.1007/s00405-016-3943-3) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%