Alissa M Collins1, Kevin Chorath1, C Blake Simpson1. 1. Department of Otolaryngology-Head and Neck Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, U.S.A.
Abstract
OBJECTIVES/HYPOTHESIS: To evaluate the demographics, etiology, intraoperative findings, and treatment outcomes of patients with subglottic stenosis (SGS), comparing those patients aged <65 years to an elderly population aged ≥65 years. STUDY DESIGN: Retrospective cohort study. METHODS: Nine-year retrospective review of patients with SGS. Forty-eight adults presented for evaluation and treatment of SGS between January 2008 and December 2016. At the time of presentation, 41 were aged <65 years and seven were aged ≥65 years. RESULTS: Comparing the aged <65 years group to the aged ≥65 years group, the etiology was idiopathic SGS in 50.0% versus 42.8%, intubation-related SGS in 22.5% versus 28.6%, and granulomatosis with polyangiitis in 27.5% versus 28.6%, respectively. No statistically significant difference was noted in the two groups when comparing the demographics, etiology, treatment, intraoperative findings, or intertreatment interval (ITI). CONCLUSIONS: We sought to analyze an older patient population with SGS and found no statistically significant differences compared to a younger population. ITI trended toward older patients requiring surgery more frequently but was not significant. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:1155-1158, 2019.
OBJECTIVES/HYPOTHESIS: To evaluate the demographics, etiology, intraoperative findings, and treatment outcomes of patients with subglottic stenosis (SGS), comparing those patients aged <65 years to an elderly population aged ≥65 years. STUDY DESIGN: Retrospective cohort study. METHODS: Nine-year retrospective review of patients with SGS. Forty-eight adults presented for evaluation and treatment of SGS between January 2008 and December 2016. At the time of presentation, 41 were aged <65 years and seven were aged ≥65 years. RESULTS: Comparing the aged <65 years group to the aged ≥65 years group, the etiology was idiopathic SGS in 50.0% versus 42.8%, intubation-related SGS in 22.5% versus 28.6%, and granulomatosis with polyangiitis in 27.5% versus 28.6%, respectively. No statistically significant difference was noted in the two groups when comparing the demographics, etiology, treatment, intraoperative findings, or intertreatment interval (ITI). CONCLUSIONS: We sought to analyze an older patient population with SGS and found no statistically significant differences compared to a younger population. ITI trended toward older patients requiring surgery more frequently but was not significant. LEVEL OF EVIDENCE: 4 Laryngoscope, 129:1155-1158, 2019.
Authors: Clayton Prakash Burruss; Robin B Pappal; Michael A Witt; Christopher Harryman; Syed Z Ali; Matthew L Bush; Mark A Fritz Journal: Laryngoscope Investig Otolaryngol Date: 2022-07-13