Clin Exp Otorhinolaryngol.  2014 Dec;7(4):324-328. 10.3342/ceo.2014.7.4.324.

Long-Term Results of Endoscopic Dilatation for Tracheal and Subglottic Stenosis

• Oh SK
• Park KN
• Lee SW

• KMID: 2278375
• DOI: http://doi.org/10.3342/ceo.2014.7.4.324

Abstract

OBJECTIVES
The purpose of this study was to assess the long-term results of endoscopic dilatation of airway stenosis and to evaluate predictive factors for favorable results.
METHODS
Fifty-four patients with tracheal and subglottic stenosis who underwent endoscopic dilatation with at least 12 months follow-up were enrolled in this study. We evaluated predictive factors for final treatment outcome such as stenosis length, location, characteristics, procedure type, and the severity of stenosis.
RESULTS
The final outcome of endoscopic dilatation showed a cure rate of 40.7%, improvement rate of 46.3%, and failure rate of 13.0%. Patients with mild stenosis or a shorter stenotic segment and those who underwent a touch-up procedure following tracheal resection with end-to-end anastomosis showed better outcomes. The cure rate of endoscopic dilatation for patients with shorter mild stenosis was 72.2%.
CONCLUSION
Endoscopic dilatation may be a primary treatment modality for patients with airway stenosis characterized by mild severity and a short stenotic segment.

Keyword

Endoscopic dilatation; Tracheal stenosis; Subglottic stenosis

MeSH Terms

Constriction, Pathologic*
Dilatation*
Follow-Up Studies
Humans
Tracheal Stenosis
Treatment Outcome

Figure

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  Fig. 1 Endoscopic views following endoscopic dilatation with subglottic stenosis. (A) Preoperative endoscopic views of subglottic stenosis. (B) Immediate endoscopic views following endoscopic dilatation.

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  Fig. 2 Preoperative and postoperative airway stenosis grades following endoscopic dilatation. Pre-stenosis, grades of preoperative airway stenosis; Post-stenosis, grades of postoperative airway stenosis. *P<0.05.

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