KeypointsDecannulation has typically been the main outcome indicator for children with airway reconstruction such as laryngotracheal reconstruction or cricothyroid reconstruction.This study provides information on the voice outcomes of this population using a comprehensive evaluation of voice including laryngoscopy, perceptual and acoustic analysis of voice quality and subjective impact questionnaires of parents and children.Voice outcomes can be good in this cohort although replication of the study would be valuable to determine if this reasonably anticipated in children where any chronic medical conditions are largely resolved.Clinicians should be encouraged to evaluate voice in this population using a wide range of measurements in order to gather individual patient baseline data.INTRODUCTIONBackgroundAirway narrowing from subglottic stenosis (SGS) may be congenital or acquired following intubation or neonatal laryngotracheal injury. Although uncommon, (incidence <0.63%), intervention establishes an airway through bypassing the obstruction (tracheostomy) or reconstructive surgery to expand or excise stenosis. Two open surgical techniques exist as follows: laryngotracheal reconstruction (LTR) and partial cricotracheal resection (CTR). Primary surgical outcomes are survival or decannulation.In adults, voice quality is reduced following LTR or CTR, particularly in women. In children, voice outcome may be poor or good, with good voice‐related quality of life (QoL) despite persisting levels of hoarseness.
Clinical Otolaryngology – Wiley
Published: Jan 1, 2018
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