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Balloon laryngoplasty for pediatric laryngeal stenosis: case series and systematic review

Jennifer L Wentzel1, Sidrah M Ahmad, Christopher M Discolo

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

The Laryngoscope
|November 14, 2013
PubMed

Insights

Balloon laryngoplasty (BLP) is an effective treatment for pediatric subglottic or laryngeal stenosis. This review found BLP to be a safe and successful alternative to reconstructive surgery in children.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Surgery
  • Respiratory Medicine

Background:

  • Subglottic and laryngeal stenosis in children can lead to significant airway compromise.
  • Traditional reconstructive procedures carry risks and may require prolonged recovery.
  • Balloon laryngoplasty (BLP) offers a less invasive approach for managing these conditions.

Purpose of the Study:

  • To systematically review the literature on the outcomes of pediatric patients treated with balloon laryngoplasty (BLP).
  • To evaluate BLP as a primary or adjuvant therapy for subglottic or laryngeal stenosis in children.
  • To report on a new series of pediatric patients undergoing BLP.

Main Methods:

  • Systematic literature search of PubMed and MEDLINE for studies on BLP in pediatric patients.
  • Retrospective chart review of 60 children treated at the Medical University of South Carolina (2007-2013).
  • Exclusion of studies on tracheal or bronchial stenosis alone; definition of success as decannulation or avoidance of open surgery.

Main Results:

  • Seven studies met inclusion criteria, reporting outcomes for 202 patients (including 60 from the new series).
  • Overall success rate for BLP was 64% (77% in the new series), defined by symptom improvement or avoidance of reconstructive surgery.
  • An average of 2.26 dilations per patient were performed, with no reported complications.

Conclusions:

  • Balloon laryngoplasty (BLP) is a highly effective treatment for pediatric subglottic and laryngeal stenosis.
  • BLP serves as a low-risk alternative or adjunct to traditional reconstructive procedures.
  • The findings support BLP as a valuable therapeutic option in pediatric airway management.
Abstract

Keywords:
Balloonchildrendilationlaryngoplastypediatricsubglottic stenosis

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