William O Collins, Nader Kalantar, Hillary B Rohrs, Rodrigo C Silva
{"title":"球囊扩张喉成形术治疗儿童先天性心脏病的疗效观察。","authors":"William O Collins, Nader Kalantar, Hillary B Rohrs, Rodrigo C Silva","doi":"10.1001/jamaoto.2013.676","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD).</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>Tertiary care academic health center.</p><p><strong>Patients: </strong>Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.</p><p><strong>Main outcome measures: </strong>Clinical improvement and avoidance of tracheotomy.</p><p><strong>Results: </strong>We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.</p><p><strong>Conclusions: </strong>Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.</p>","PeriodicalId":8285,"journal":{"name":"Archives of otolaryngology--head & neck surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1001/jamaoto.2013.676","citationCount":"10","resultStr":"{\"title\":\"The effects of balloon dilation laryngoplasty in children with congenital heart disease.\",\"authors\":\"William O Collins, Nader Kalantar, Hillary B Rohrs, Rodrigo C Silva\",\"doi\":\"10.1001/jamaoto.2013.676\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD).</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>Tertiary care academic health center.</p><p><strong>Patients: </strong>Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.</p><p><strong>Main outcome measures: </strong>Clinical improvement and avoidance of tracheotomy.</p><p><strong>Results: </strong>We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.</p><p><strong>Conclusions: </strong>Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.</p>\",\"PeriodicalId\":8285,\"journal\":{\"name\":\"Archives of otolaryngology--head & neck surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2012-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1001/jamaoto.2013.676\",\"citationCount\":\"10\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of otolaryngology--head & neck surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1001/jamaoto.2013.676\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of otolaryngology--head & neck surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1001/jamaoto.2013.676","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The effects of balloon dilation laryngoplasty in children with congenital heart disease.
Objective: To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD).
Design: Retrospective study.
Setting: Tertiary care academic health center.
Patients: Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.
Main outcome measures: Clinical improvement and avoidance of tracheotomy.
Results: We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.
Conclusions: Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.
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