Management of subglottic stenosis in children with endoscopic balloon dilation

VernacularTitle:内镜下球囊扩张治疗儿童声门下狭窄
Author: Pengcheng CUI ¹ ; Jiasheng LUO ; Daqing ZHAO ; Zhihua GUO ; Ruina MA
Author Information

1. 第四军医大学唐都医院耳鼻咽喉头颈外科
Keywords: Glottis; Endoscopy; Balloon dilatation
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2016;51(4):286-288
CountryChina
Language:Chinese
Abstract: Objective To evaluate the efficacy of endoscopic balloon dilation for subglottic stenosis.Methods The clinical outcomes of 9 pediatric patients treated with balloon dilation were retrospectively analyzed.There were 8 male and Ⅰ female.Their age ranged from 7 months to 7 years (mean 2.5 years).The degree of stenosis was classified according to Myer-Cotton classification as follows:grade Ⅱ (n =7) and grade Ⅲ (n =2).The causes of the stenosis were postintubation lesions (n =8) and laryngeal penetrating trauma (n =1).Results The patients had undergone 1 to 3 dilations with an average of 1.8 procedures per patient.Six (66.7％) patients were decannulated.Among them,4 (44.4％) were decannulated after one dilation procedure.Pneumothoraces occurred in 2 children postoperatively.Conclusion Endoscopic balloon dilation is an effective,relatively safe and minimally invasive surgical method for patients with low-grade subglottic stenosis.