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Balloon dilatation versus CO2 laser surgery in subglottic stenosis: a retrospective analysis of therapeutic approaches
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.ORCID iD: 0000-0002-9031-565x
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.ORCID iD: 0000-0003-3522-1842
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Otorhinolaryngology.ORCID iD: 0000-0003-0007-8716
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2023 (English)In: Acta Oto-Laryngologica, ISSN 0001-6489, E-ISSN 1651-2251, Vol. 143, no 6, p. 528-535Article in journal (Refereed) Published
Abstract [en]

Background: Subglottic stenosis (SGS) is a narrowing of the airway just below the vocal folds. The cause of SGS and the optimal care for these patients, have remained elusive. Endoscopic surgery of SGS using either balloon or CO2 laser is associated with recurrence.

Aims and objectives: Our aim is to compare surgery free intervals (SFI) between these two methods applied in two different timeframes. The knowledge gained from this project can support decision-making regarding surgical method choice.

Material and methods: Participants were retrospectively identified using medical records between 1999–2021. We used pre-defined broad inclusion criteria to identify cases using the International Classification of Disease (ICD-10). Primary outcome was surgery free intervals.

Results: 141 patients were identified, 63 met the criteria for SGS, and were included in the analysis. Results show no significant difference in SFI, comparing balloon dilatation and CO2 laser.

Conclusion: These findings demonstrate no detected difference in treatment intervals (SFI) when comparing these two commonly used surgical alternatives for SGS.

Significance: The outcome of this report supports surgical freedom of choice based on the surgeon’s experience and skill and ushes for further studies on patient experience regarding these two therapeutic approaches.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 143, no 6, p. 528-535
Keywords [en]
balloon dilatation, CO2 laser, idiopathic subglottic stenosis, Subglottic stenosis, surgery free intervals
National Category
Otorhinolaryngology Surgery
Identifiers
URN: urn:nbn:se:umu:diva-212260DOI: 10.1080/00016489.2023.2222756ISI: 001011786800001PubMedID: 37343275Scopus ID: 2-s2.0-85164105528OAI: oai:DiVA.org:umu-212260DiVA, id: diva2:1783335
Funder
Cancerforskningsfonden i Norrland, AMP 18-925Cancerforskningsfonden i Norrland, AMP-19-973Region Västerbotten, RV 967352Region Västerbotten, RV 979607Available from: 2023-07-20 Created: 2023-07-20 Last updated: 2023-07-20Bibliographically approved

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Erlandsson, AndersWerner, MimmiHolm, AnnaSchindele, AlexandraOlofsson, Katarina

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