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Outcomes of balloon dilation for paediatric laryngeal stenosis

Giovanna Cantarella1,2, Michele Gaffuri2, Sara Torretta1,2

  • 1Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Department of Otolaryngology and Head and Neck Surgery, Milan, Italy.

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale
|December 10, 2020
PubMed

Insights

Balloon dilation is an effective treatment for paediatric laryngeal stenosis, improving airway patency in children. This minimally invasive procedure offers a valuable option for chronic cases, reducing the need for open surgery.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Pulmonology

Background:

  • Paediatric laryngeal stenosis (LS) is a challenging condition requiring effective treatment.
  • Minimally invasive endoscopic options like balloon dilation (BD) offer reduced morbidity compared to open surgery.

Purpose of the Study:

  • To evaluate the efficacy and safety of balloon dilation (BD) for treating chronic paediatric laryngeal stenosis (LS).
  • To describe the outcomes of BD as a primary or adjuvant therapy in children with LS.

Main Methods:

  • Retrospective analysis of 14 children (median age 28.5 months) with chronic LS treated with tubeless total intravenous anaesthesia.
  • Balloon dilation laryngoplasty was performed as primary treatment or adjuvant therapy following reconstructive surgery.

Main Results:

  • 12 of 14 children had Grade III or IV LS; 6 had prior tracheotomy.
  • Median 2 dilations were performed (range 1-6) with no postoperative complications.
  • 12 children showed improved laryngeal lumen widening and/or respiratory function; 2 tracheostomies were decannulated.

Conclusions:

  • Balloon laryngoplasty is a valuable therapeutic option for paediatric laryngeal stenosis.
  • It effectively improves laryngeal patency in children with chronic multilevel LS.
  • BD serves as a beneficial primary or adjuvant treatment after reconstructive surgery.
Abstract

Keywords:
balloon dilationchildrendyspnealaryngeal stenosispaediatric

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