Role of balloon dilation in the management of adult idiopathic subglottic stenosis.

Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Research Abstract Details 

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Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Abstract Text:

Kenneth H Lee,Michael J Rutter,

OBJECTIVES: We evaluated the efficacy of balloon dilation for adjunctive and symptomatic management of isolated idiopathic subglottic stenosis in adults. METHODS: Adults with airway obstruction symptoms classified as idiopathic subglottic stenosis based on history and findings of a single discrete stenotic area on microlaryngoscopy and bronchoscopy were included in this series. Patients who met these criteria underwent dilation with a 10- to 14-mm balloon in a single procedure or in 2 consecutive dilations within 7 days. The patients were followed for up to 30 months after dilation. RESULTS: Six patients met the criteria. One of the 6 had prior laser treatments and a cricotracheal resection. One patient had a previous scar band lysis procedure. The remaining 4 patients had no prior procedures. The airway sizes prior to dilation ranged from a 2.5 endotracheal tube to a 5.0 endotracheal tube. In all cases the airway was dilated to 2.0 to 3.5 endotracheal tube sizes larger than the initial size. To date, 4 patients have been followed for 10 to 30 months without symptoms of recurrent airway stenosis. One patient was symptom-free for 22 months, then presented with progressive airway difficulty following an upper respiratory tract infection, and has undergone a repeat dilation. No patients had adverse effects or complications from the procedure. CONCLUSIONS: Balloon dilation of idiopathic subglottic stenosis in adults is a relatively safe and effective method to manage this disease entity for cases of isolated and discrete lesions. Patients who underwent a single procedure have remained symptom-free for up to 30 months after balloon dilation.

Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Publishing Authors By Initials

KH Lee,MJ Rutter,

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Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The Annals of otology, rhinology, and laryngology

VOLUME: 117

Page Numbers: 81-4

Journal Abbreviation: Ann. Otol. Rhinol. Laryngol.

ISSN: 0003-4894

DAY: 24

MONTH: Feb

YEAR: 2008

Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Information

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LANGUAGE: eng

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Grant and Affiliation Information for Role of balloon dilation in the management of adult idiopathic subglottic stenosis.

AFFILIATION: Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, MLC 2018, Cincinnati, OH 45229-3039, USA.

Country: United States

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MEDLINETA: Ann Otol Rhinol Laryngol

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