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Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children
Author(s) -
Aliye Filiz,
Seckin O. Ulualp
Publication year - 2014
Publication title -
case reports in otolaryngology
Language(s) - English
Resource type - Journals
eISSN - 2090-6765
pISSN - 2090-6773
DOI - 10.1155/2014/304593
Subject(s) - medicine , balloon dilation , subglottic stenosis , term (time) , balloon , stenosis , dilation (metric space) , cardiology , surgery , radiology , mathematics , physics , quantum mechanics , combinatorics
Objectives . Balloon dilation laryngoplasty has been suggested as an alternative treatment to open surgical treatment of acquired subglottic stenosis in children. We describe long-term outcomes of balloon dilation for acquired subglottic stenosis in children. Methods . The medical charts of children who had balloon dilation for subglottic stenosis secondary to intubation were reviewed. Data included demographics, relevant history and physical examination, diagnostic workup, and management. Outcomes of balloon dilation were assessed based on improvement in preoperative symptoms, grading of stenosis, complications, and need for additional procedures. Results . Three children (2 male, 1 female, age range: 14 weeks–1 year) underwent balloon dilation for acquired subglottic stenosis. Patients presented with stridor and increased work of breathing. Duration of intubation ranged from 2 days to 3 weeks. Patients became symptomatic 5 days to 6 weeks after extubation. Grade of subglottic stenosis was II in 2 patients and III in one. Subglottic stenosis patients had 2-3 dilations within 2–10 weeks. All patients were asymptomatic during 14–21-month follow-up. Conclusions . Serial balloon dilation was safe and successful method to manage acquired subglottic stenosis in this group of children. No recurrence was noted in a follow-up more than a year after resolution of symptoms.

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