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Revision Endoscopic Posterior Costal Cartilage Grafting: Is It Feasible?
Redmann, Andrew J; Moore, Charles; Kou, Yann-Fuu; Tabangin, Meredith E; Wilcox, Lyndy; Smith, Matthew M; Hart, Catherine K; Rutter, Michael J; de Alarcon, Alessandro.
Afiliação
  • Redmann AJ; Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's Minnesota, Minneapolis, Minnesota, USA.
  • Moore C; Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
  • Kou YF; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
  • Tabangin ME; Department of Otolaryngology-Head and Neck Surgery, University of Texas-Southwestern, Dallas, Texas, USA.
  • Wilcox L; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Smith MM; Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
  • Hart CK; Division of Pediatric Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Rutter MJ; Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
  • de Alarcon A; Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Otolaryngol Head Neck Surg ; 169(2): 432-434, 2023 08.
Article em En | MEDLINE | ID: mdl-36939543
ABSTRACT
The 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laringoestenose / Cartilagem Costal / Laringe Limite: Humans Idioma: En Revista: Otolaryngol Head Neck Surg Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laringoestenose / Cartilagem Costal / Laringe Limite: Humans Idioma: En Revista: Otolaryngol Head Neck Surg Assunto da revista: OTORRINOLARINGOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos