Estenosis glóticas posteriores de origen cicatricial. Nuestra experiencia / Cicatricial posterior glottic stenosis. Our experience

Introducción y objetivos: Presentar los resultados obtenidos en el tratamiento de estenosis glóticas posteriores cicatriciales. Métodos: Estudio retrospectivo de 34 pacientes diagnosticados y tratados de estenosis glóticas posteriores cicatriciales por nuestro servicio. Resultados: El 85,36% de nuestros pacientes fueron decanulados. Los pacientes con estenosis de localización únicamente glótica fueron decanulados en un 80%, mientras que paradójicamente en los que tenían asociada además otro tipo de estenosis laringotraqueal, el porcentaje de decanulación fue del 92,9%. El 70% de los pacientes requirieron más de un procedimiento quirúrgico, aunque la mayoría de ellos se hicieron por protocolo y con la finalidad de resolver pequeños problemas. El número de reintervenciones está condicionado por la localización de la estenosis, siendo mayor cuando la estenosis glótica posterior se asocia a otro tipo de estenosis laringotraqueal (p = 0,001). Conclusiones: Los resultados quirúrgicos obtenidos en el tratamiento de las estenosis glóticas posteriores cicatriciales son buenos, pero a diferencia de otro tipo de estenosis glóticas posteriores (como por ejemplo las parálisis de abductores de origen neurogénico) requieren más intervenciones para la decanulación definitiva. Los procedimientos endoscópicos juegan un papel destacado y suponen nuestra principal herramienta de trabajo (AU)

Introduction and objectives: Presentation of the results obtained in the treatment of cicatricial posterior glottic stenosis. Methods: A retrospective study of 34 patients diagnosed and treated for cicatricial posterior glottic stenosis in our ENT Department. Results: In our series, 85.36% of our patients were decannulated. Of these, 80% of the patients with glottic stenosis were decannulated, while 92.9% of the patients with other associated laryngotracheal stenosis were paradoxically decannulated. Of all the patients, 70% required more than 1 surgical procedure, although most of these interventions were to resolve minor issues following our protocol. The number of subsequent interventions was determined by the location of the stenosis, with there being more interventions when the posterior glottic stenosis was associated with another type of laryngotracheal stenosis (p=.001). Conclusions: The surgical results for treating cicatricial posterior glottic stenosis are quite positive. However, unlike other types of posterior glottic stenosis (such as neurogenic abductor paralysis), it requires a greater number of interventions to achieve definitive decannulation. Endoscopic procedures play an important role and represent our main tool (AU)

Cicatricial posterior glottic stenosis. Our experience. / Estenosis glóticas posteriores de origen cicatricial. Nuestra experiencia.

INTRODUCTION AND OBJECTIVES: Presentation of the results obtained in the treatment of cicatricial posterior glottic stenosis. METHODS: A retrospective study of 34 patients diagnosed and treated for cicatricial posterior glottic stenosis in our ENT Department. RESULTS: In our series, 85.36% of our patients were decannulated. Of these, 80% of the patients with glottic stenosis were decannulated, while 92.9% of the patients with other associated laryngotracheal stenosis were paradoxically decannulated. Of all the patients, 70% required more than 1 surgical procedure, although most of these interventions were to resolve minor issues following our protocol. The number of subsequent interventions was determined by the location of the stenosis, with there being more interventions when the posterior glottic stenosis was associated with another type of laryngotracheal stenosis (p=.001). CONCLUSIONS: The surgical results for treating cicatricial posterior glottic stenosis are quite positive. However, unlike other types of posterior glottic stenosis (such as neurogenic abductor paralysis), it requires a greater number of interventions to achieve definitive decannulation. Endoscopic procedures play an important role and represent our main tool.

Non-epithelial lesions of the larynx: review of the 10-year experience in a tertiary Spanish hospital.

CONCLUSION: In this report we review the diagnosis, therapy, and outcome of laryngeal non-epithelial tumors and comment on the literature on these rare lesions. OBJECTIVES: Non-epithelial tumors of the larynx are rather rare and most cases have been reported as isolated or short series of cases from different centers all over the world. The aim of the present study was to review the 10-year experience with non-epithelial lesions in a 400-bed tertiary hospital covering a population of almost 250 000 people in Madrid, Spain. PATIENTS AND METHODS: We reviewed 2631 laryngeal samples corresponding to this time period. RESULTS: In all, 737 corresponded to carcinomas (726 squamous cell carcinomas). We had two cases of chondrosarcoma, one case of liposarcoma, one case of synovial sarcoma, and one neural benign tumor, suggestive of neurinoma. In this period we also had an inflammatory pseudotumor affecting the vocal cord, a case of primary laryngeal extramedullary plasmocytoma, and one case of high grade diffuse malignant lymphoma with exclusive involvement of the larynx. In our series most patients were women (five vs three patients) and ages ranged between 12 and 92 years.