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Subglottic stenosis: An evaluation of an elderly treatment‐seeking population
Author(s) -
Collins Alissa M.,
Chorath Kevin,
Simpson C. Blake
Publication year - 2019
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27495
Subject(s) - medicine , etiology , retrospective cohort study , demographics , population , subglottic stenosis , cohort , intubation , granulomatosis with polyangiitis , pediatrics , surgery , stenosis , vasculitis , disease , demography , environmental health , sociology
Objectives/Hypothesis To evaluate the demographics, etiology, intraoperative findings, and treatment outcomes of patients with subglottic stenosis (SGS), comparing those patients aged <65 years to an elderly population aged ≥65 years. Study Design Retrospective cohort study. Methods Nine‐year retrospective review of patients with SGS. Forty‐eight adults presented for evaluation and treatment of SGS between January 2008 and December 2016. At the time of presentation, 41 were aged <65 years and seven were aged ≥65 years. Results Comparing the aged <65 years group to the aged ≥65 years group, the etiology was idiopathic SGS in 50.0% versus 42.8%, intubation‐related SGS in 22.5% versus 28.6%, and granulomatosis with polyangiitis in 27.5% versus 28.6%, respectively. No statistically significant difference was noted in the two groups when comparing the demographics, etiology, treatment, intraoperative findings, or intertreatment interval (ITI). Conclusions We sought to analyze an older patient population with SGS and found no statistically significant differences compared to a younger population. ITI trended toward older patients requiring surgery more frequently but was not significant. Level of Evidence 4 Laryngoscope , 129:1155–1158, 2019