Revision Endoscopic Posterior Costal Cartilage Grafting: Is It Feasible?-Reference-Cited by-同舟云学术

Revision Endoscopic Posterior Costal Cartilage Grafting: Is It Feasible?

Published:2023-02-07 Issue:2 Volume:169 Page:432-434
ISSN:0194-5998
Container-title:Otolaryngology–Head and Neck Surgery
language:en
Short-container-title:Otolaryngol.--head neck surg.

Author:

Redmann Andrew J.¹²^ORCID,Moore Charles³,Kou Yann‐Fuu⁴,Tabangin Meredith E.⁵⁶,Wilcox Lyndy⁷,Smith Matthew M.³⁵⁸,Hart Catherine K.³⁵⁸,Rutter Michael J.³⁵⁸,de Alarcon Alessandro³⁵⁸

Affiliation:

1. Division of Pediatric Otolaryngology‐Head and Neck Surgery Children's Minnesota Minneapolis Minnesota USA

2. Department of Otolaryngology‐Head and Neck Surgery University of Minnesota Minneapolis Minnesota USA

3. Department of Otolaryngology‐Head and Neck Surgery University of Cincinnati College of Medicine Cincinnati Ohio USA

4. Department of Otolaryngology‐Head and Neck Surgery University of Texas‐Southwestern Dallas Texas USA

5. Division of Pediatric Otolaryngology‐Head and Neck Surgery Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

6. Division of Biostatistics and Epidemiology Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

7. Division of Pediatric Otolaryngology Vanderbilt University Medical Center Nashville Tennessee USA

8. Aerodigestive and Esophageal Center Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA

Abstract

AbstractThe objective of this work is to examine the feasibility of revision endoscopic posterior costal cartilage graft (EPCCG) placement for posterior glottic stenosis (PGS) and bilateral vocal fold immobility (BVFI). Revision and primary cases were compared with respect to decannulation rates, and it was hypothesized that there would be no difference in outcomes. Twenty‐one patients met inclusion criteria (14 primary, 7 revision). Thirteen (62%) had a primary indication of PGS, and 8 (42%) were for BVFI. There were no differences between revision and primary groups with respect to age, gender, or comorbidities (p > .05). There was no difference between groups with respect to decannulation rate (85% primary vs 100% revision, p = .32). Thus, revision EPCCG appears to have comparable results to primary EPCCG with respect to decannulation rate and time to decannulation. EPCCG may be a feasible alternative to open airway reconstruction for PGS and BVFI in selected patients.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ohn.275

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