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Changing trends in neonatal subglottic stenosis.

S S Choi1, G H Zalzal

  • 1Department of Pediatric Otolaryngology-Head and Neck Surgery, Children's National Medical Center, George Washington University, Washington, DC, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|January 12, 2000
PubMed
Summary

The incidence of neonatal subglottic stenosis (SGS) and its management have remained stable over the past decade. This study found no significant changes in SGS rates or treatment approaches in neonates.

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Area of Science:

  • Neonatal care
  • Pediatric otolaryngology
  • Respiratory medicine

Background:

  • Neonatal subglottic stenosis (SGS) is a critical airway obstruction.
  • Understanding trends in SGS incidence and management is crucial for neonatal intensive care.

Purpose of the Study:

  • To evaluate changes in the incidence and management of neonatal subglottic stenosis (SGS).
  • To compare current SGS rates with data from a decade prior at the same institution.

Main Methods:

  • Retrospective chart review of 416 infants admitted to a neonatal intensive care unit.
  • Determined incidence of airway obstruction requiring surgical intervention (cricoid split or tracheotomy).
  • Compared findings with a historical cohort from 10 years earlier.

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Main Results:

  • Overall neonatal SGS incidence was 0.24% (1/416).
  • Incidence was 0.49% in neonates intubated for ≥48 hours and 0.63% in survivors intubated for ≥48 hours.
  • These rates are comparable to historical data (0.65%, 1.5%, 1.9% respectively).
  • Tracheotomy placement in 5 infants was unrelated to SGS, due to conditions like micrognathia, hypotonia, or CHARGE association.

Conclusions:

  • Neonatal subglottic stenosis incidence and management have remained consistent over the study period.
  • No significant changes were observed when compared to data from 10 years prior.