Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5‐Year Update

Author:

Tierney William S.1ORCID,Huang Li‐Ching2,Chen Sheau‐Chiann2,Berry Lynn D.2,Anderson Catherine1,Amin Milan R.3,Benninger Michael S.4,Blumin Joel H.5,Bock Jonathan M.5,Bryson Paul C.4,Castellanos Paul F.6,Clary Matthew S.7,Cohen Seth M.8,Crawley Brianna K.9,Dailey Seth H.10,Daniero James J.11,de Alarcon Alessandro12,Donovan Donald T.13,Edell Eric S.14,Ekbom Dale C.15,Fink Daniel S.7,Franco Ramon A.16,Garrett Catherine Gaelyn1,Guardiani Elizabeth A.17,Hillel Alexander T.18,Hoffman Henry T.19,Hogikyan Norman D.20,Howell Rebecca J.12,Johns Michael M.21,Kasperbauer Jan L.15,Khosla Sid M.12,Kinnard Cheryl1,Kupfer Robbi A.20,Langerman Alexander J.1,Lentz Robert J.22,Lorenz Robert R.4,Lott David G.23,Makani Samir S.24,Maldonado Fabien22,Matrka Laura25,McWhorter Andrew J.26,Merati Albert L.27,Mori Matthew28,Netterville James L.1,O'Dell Karla21,Ongkasuwan Julina13,Postma Gregory N.29,Reder Lindsay S.21,Rohde Sarah L.1,Richardson Brent E.30,Rickman Otis B.22,Rosen Clark A.31,Rohlfing Matthew1,Rutter Michael J.12,Sandhu Guri S.32,Schindler Joshua S.33,Schneider Glenn Todd34,Shah Rupali N.35,Sikora Andrew G.13,Sinard Robert J.1,Smith Marshall E.36,Smith Libby J.37,Soliman Ahmed M. S.38,Sveinsdóttir Sigríður39,Veivers David40,Verma Sunil P.41,Weinberger Paul M.42,Weissbrod Philip A.43,Wootten Christopher T.1,Shyr Yu2,Francis David O.10,Gelbard Alexander1

Affiliation:

1. Department of Otolaryngology–Head and Neck Surgery Vanderbilt University Medical Center Nashville Tennessee USA

2. Department of Biostatistics Vanderbilt University Nashville Tennessee USA

3. Department of Surgery, Division of Otolaryngology–Head and Neck Surgery University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA

4. Department of Otolaryngology–Head and Neck Surgery New York University New York New York USA

5. Department of Otolaryngology–Head and Neck Surgery Cleveland Clinic Cleveland Ohio USA

6. Department of Otolaryngology–Head and Neck Surgery Medical College of Wisconsin Milwaukee Wisconsin USA

7. Department of Otolaryngology–Head and Neck Surgery, Mercy Health–St. Rita's Ear Nose and Throat Lima Ohio USA

8. Department of Otolaryngology–Head and Neck Surgery University of Colorado School of Medicine Denver Colorado USA

9. Department of Surgery, Division of Otolaryngology–Head and Neck Surgery Duke University Durham North Carolina USA

10. Department of Otolaryngology–Head and Neck Surgery Loma Linda University Health Loma Linda California USA

11. Department of Otolaryngology–Head and Neck Surgery University of Virginia Charlottesville Virginia USA

12. Department of Otolaryngology–Head and Neck Surgery University of Cincinnati Cincinnati Ohio USA

13. Department of Otolaryngology–Head and Neck Surgery Baylor University Houston Texas USA

14. Department of Pulmonology Mayo Clinic Rochester Minnesota USA

15. Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Rochester Minnesota USA

16. Department of Otolaryngology–Head and Neck Surgery Harvard University Boston Massachusetts USA

17. Department of Otolaryngology–Head and Neck Surgery University of Maryland Baltimore Maryland USA

18. Department of Otolaryngology–Head and Neck Surgery Johns Hopkins University Baltimore Maryland USA

19. Department of Otolaryngology–Head and Neck Surgery University of Iowa Iowa City Iowa USA

20. Department of Otolaryngology–Head and Neck Surgery University of Michigan Ann Arbor Michigan USA

21. Department of Otolaryngology–Head and Neck Surgery University of Southern California Los Angeles California USA

22. Department of Medicine, Division of Pulmonology Vanderbilt University Medical Center Nashville Tennessee USA

23. Department of Otolaryngology–Head and Neck Surgery Mayo Clinic Phoenix Arizona USA

24. Scripps Health Coastal Pulmonary Associates Encinitas California USA

25. Department of Otolaryngology–Head and Neck Surgery Ohio State University Columbus Ohio USA

26. Department of Otolaryngology–Head and Neck Surgery Louisiana State University Baton Rouge Louisiana USA

27. Department of Otolaryngology–Head and Neck Surgery University of Washington Seattle Washington USA

28. Department of Otolaryngology–Head and Neck Surgery Mount Sinai New York New York USA

29. Department of Otolaryngology–Head and Neck Surgery Augusta University Health Augusta Georgia USA

30. Department of Otolaryngology–Head and Neck Surgery, Bastian Voice Institute for Voice Swallowing, and Airway Disorders Downers Grove Illinois USA

31. Department of Otolaryngology–Head and Neck Surgery University of California‐San Francisco San Francisco California USA

32. Department of Otolaryngology–Head and Neck Surgery The London Clinic London England

33. Department of Otolaryngology–Head and Neck Surgery Oregon Health Sciences University Portland Oregon USA

34. Department of Otolaryngology–Head and Neck Surgery University of Rochester Medical Center Rochester New York USA

35. Department of Otolaryngology–Head and Neck Surgery University of North Carolina Chapel Hill North Carolina USA

36. Division of Otolaryngology–Head and Neck Surgery University of Utah Salt Lake City Utah USA

37. Department of Otolaryngology–Head and Neck Surgery University of Pittsburgh Pittsburgh Pennsylvania USA

38. Department of Otolaryngology–Head and Neck Surgery Temple University Philadelphia Pennsylvania USA

39. Department of Otolaryngology–Head and Neck Surgery National University Hospital of Iceland Reykjavik Iceland UK

40. Ear Nose and Throat University of Sydney Sydney Australia

41. Department of Otolaryngology–Head and Neck Surgery University of California–Irvine Irvine California USA

42. Department of Otolaryngology–Head and Neck Surgery, Ark‐La‐Tex Center for Voice Airway & Swallowing Shreveport Louisiana USA

43. Department of Otolaryngology–Head and Neck Surgery University of California‐San Diego San Diego California USA

Abstract

AbstractThe North American Airway Collaborative (NoAAC) previously published a 3‐year multi‐institutional prospective cohort study showing variation in treatment effectiveness between 3 primary surgical techniques for idiopathic subglottic stenosis (iSGS). In this report, we update these findings to include 5 years of data evaluating treatment effectiveness. Patients in the NoAAC cohort were re‐enrolled for 2 additional years and followed using the prespecified published protocol. Consistent with prior data, prospective observation of 487 iSGS patients for 5 years showed treatment effectiveness differed by modality. Cricotracheal resection maintained the lowest rate of recurrent operation (5%), followed by endoscopic resection with adjuvant medical therapy (30%) and endoscopic dilation (50%). These data support the initial observations and continue to provide value to providers and patients navigating longitudinal decision‐making.Level of evidence: 2—prospective cohort study.

Publisher

Wiley

Subject

Otorhinolaryngology,Surgery

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Funktionelle, radiologische und endoskopische Diagnostik trachealer Erkrankungen;Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie;2023-12-06

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