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[Multidisciplinary approach on subglottic pathology: a 5-year review].

I Miró1, C Gutiérrez1, R Fonseca1

  • 1Servicio de Cirugía Pediátrica. Hospital Universitari i Politècnic La Fe. València.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|July 7, 2018
PubMed
Summary
This summary is machine-generated.

Pediatric subglottic pathology management is challenging. Multidisciplinary approaches and tailored treatments, including microsurgery and laryngotracheoplasty, improve clinical outcomes for conditions like stenosis, cysts, and granulomas.

Keywords:
Cricotracheal resectionLaryngotracheoplastySubglottic stenosis

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Area of Science:

  • Pediatric Otolaryngology
  • Airway Surgery
  • Pediatric Respiratory Medicine

Background:

  • Pediatric subglottic pathology presents significant treatment challenges.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To review the management of pediatric subglottic pathology.
  • To evaluate treatment outcomes for stenosis, cysts, and granulomas.

Main Methods:

  • Retrospective study of 27 pediatric patients with glottosubglottic pathology (2011-2016).
  • Analysis of treatment modalities based on pathology type, location, and severity.

Main Results:

  • Congenital stenosis treated with laryngotracheoplasty.
  • Acquired stenosis managed with various techniques including microsurgery, cricotracheal resection, and tracheal dilatation.
  • Subglottic cysts and granulomas primarily treated with microsurgery, with some granulomas resolving spontaneously.

Conclusions:

  • Pediatric subglottic pathology management remains complex.
  • A multidisciplinary Airway Committee approach has improved clinical results.
  • Tailored treatment strategies are essential for optimal outcomes.