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Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
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Related Experiment Video

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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes
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Idiopathic subglottic stenosis: an epidemiological single-center study.

Maria Tyse Aarnæs1, Leiv Sandvik2, Kjell Brøndbo3

  • 1Department of Otorhinolaryngology/Head and Neck Surgery, Oslo University Hospital, Rikshospitalet, Mailboks 4956, 0424, Oslo, Norway. maripe@ous-hf.no.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|March 1, 2017
PubMed
Summary

Idiopathic subglottic stenosis (ISS) primarily affects women, with a low incidence in Norway. While laser surgery and dilatation offer effective treatment, high recurrence rates necessitate ongoing management.

Keywords:
IdiopathicMitomycin CStenosisSubglottic

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Area of Science:

  • Otolaryngology
  • Epidemiology
  • Respiratory Medicine

Background:

  • Idiopathic subglottic stenosis (ISS) is a rare condition affecting the airway below the vocal cords.
  • Understanding its incidence and treatment outcomes is crucial for patient management.

Purpose of the Study:

  • To determine the incidence, management strategies, and treatment outcomes of ISS.
  • To analyze patient demographics and treatment intervals.

Main Methods:

  • Retrospective epidemiological study of 123 subglottic stenosis patients (38 with ISS) treated between 2003-2013.
  • Analysis of patient data including demographics, procedures, and follow-up intervals.

Main Results:

  • ISS predominantly affects females (38/38 cases) with a diagnosed incidence of 0.2 per 100,000 in South-Eastern Norway.
  • Patients underwent an average of 3.5 operations (132 total) with a median follow-up of 5.3 years.
  • Recurrence rates were high, with 78.9% requiring multiple procedures.

Conclusions:

  • Laser surgery and dilatation are effective for managing ISS symptoms.
  • High recurrence rates indicate ISS remains a significant clinical challenge requiring long-term management.