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The outcomes of endoscopic management in young children with subglottic stenosis

Chao Chen1, Wei-Hua Ni1, Tan-le Tian1

  • 1Department of Otolaryngology-Head and Neck Surgery, Children's Hospital of Fudan University, Shanghai, China.

International Journal of Pediatric Otorhinolaryngology
|July 10, 2017
PubMed

Insights

Endoscopic management, including balloon dilation, is a safe and effective treatment for pediatric subglottic stenosis (SGS). This approach shows high success rates, particularly for congenital SGS in young children.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Airway Management

Background:

  • Subglottic stenosis (SGS) presents a significant airway obstruction challenge in pediatric patients.
  • Congenital SGS, in particular, poses difficulties for otolaryngologists.
  • Effective treatment strategies for pediatric SGS are crucial.

Purpose of the Study:

  • To evaluate the outcomes of endoscopic management for subglottic stenosis in young children.
  • To analyze the efficacy of endoscopic balloon dilation (EBD) and EBD with endoscopic anterior cricoid split (EACS).

Main Methods:

  • Retrospective review of pediatric patients with SGS treated between December 2008 and December 2015.
  • Patients aged 2 days to 12 years with SGS grades II-IV underwent EBD or EBD with EACS.
  • Data analysis focused on treatment success rates and complications.

Main Results:

  • Overall success rate for endoscopic management in 56 children was 87.5%.
  • Acute acquired SGS showed a 95.5% success rate (EBD alone or with EACS).
  • Congenital SGS treated with EBD and EACS achieved an 85.7% success rate, with no observed complications.

Conclusions:

  • Endoscopic surgical techniques are safe and effective for treating pediatric subglottic stenosis.
  • These methods are especially beneficial for managing congenital SGS in young patients.
  • The study supports endoscopic management as a primary treatment option.

Keywords:
Endoscopic anterior cricoid splitEndoscopic balloon dilationSubglottic stenosisYoung children

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