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Treatment of Childhood High-Grade Subglottic Stenosis (SGS) Through Laryngotracheoplasty (LTP) in a Tertiary Pediatric Center from 2013 to 2020

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Abstract

Laryngotracheal reconstruction is the most common and effective treatment in childhood subglottic stenosis (SGS). Our aim is to review the success rate of laryngotracheoplasty (LTP) in pediatric high grade SGS cases in our tertiary center. The retrospective review was conducted on children with high grade subglottic stenosis who had undergone laryngotracheoplasty over a 7-year period (2013–2020) in tertiary pediatric care. A total of 20 patients who had history of high grade SGS during the stipulated period were included. All of them had undergone LTP. Decannulation was considered the primary outcome measure of success. Surveillance bronchoscopy was performed one year post airway reconstruction to detect residual stenosis. From January 2013 to December 2020, 20 patients aged between 1 and 16 years old underwent LTP. Among them, 10 patients (50%) had Grade III SGS while 5 had Grade III SGS with glottis stenosis (25%). The remaining 5 (25%) had severe Grade IV stenosis. Decannulation was achieved in 14 patients overall (70%) including 1 with revision. These 14 patients who achieved decannulation included 7 out of the 10 patients (70%) with Grade III, 2 out of the 5 (40%) patients with Grade III with glottic involvement, and 4 out of the 5 patients (80%) with Grade IV SGS. Fifteen (80%) patients had double stage LTP while 5 patients had single stage LTP. The study suggests that LTP is a promising approach in the treatment of Complex SGS. Furthermore, pediatric SGS, which is inherently complicated, can be treated with LTP effectively.

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Acknowledgements

The authors grateful acknowledge the cooperation of the study setting administration.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Consultant Otolaryngology, Head and Neck Surgery Department, King Abdulaziz University, Jeddah, Saudi Arabia

    Talal Al-Khatib

  2. Consultant Otolaryngology, Head and Neck Surgery Department, Almadinah Hospital, Almadinah, Saudi Arabia

    Anas Kurdi

  3. Associate consultant, Otolaryngology Head and Neck Surgery Department, King Abdullah Medical city, Makkah, Saudi Arabia

    Wafa Abdullah Maqbul

  4. Medical Intern, King Abdulaziz University, Jeddah, Saudi Arabia

    Abdulrahman Maqboul & Talal Alghamdi

Authors
  1. Talal Al-Khatib
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  2. Anas Kurdi
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  3. Wafa Abdullah Maqbul
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  4. Abdulrahman Maqboul
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  5. Talal Alghamdi
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Contributions

TAK, brought idea, main surgeon, revised manuscript, approved submission. AK, revised the data. WAM, data analysis, wrote manuscript. AM, data collection, participated in writing manuscript. TA, data collection.

Corresponding author

Correspondence to Wafa Abdullah Maqbul.

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Authors declared that they have no conflict of interest.

Ethics Approval and Consent to Participate

The study was approved by the Institutional Research Ethics Committee (Reference No 207–19).

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N/A.

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The authors declare that there are no competing interests.

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Al-Khatib, T., Kurdi, A., Maqbul, W.A. et al. Treatment of Childhood High-Grade Subglottic Stenosis (SGS) Through Laryngotracheoplasty (LTP) in a Tertiary Pediatric Center from 2013 to 2020. Indian J Otolaryngol Head Neck Surg 74, 363–368 (2022). https://doi.org/10.1007/s12070-021-02767-7

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  • DOI: https://doi.org/10.1007/s12070-021-02767-7

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