eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Laryngology

Subglottic Stenosis in Adults: Follow-up

Author: James D Garnett, MD, Director of Voice and Swallowing Center, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center
Contributor Information and Disclosures

Updated: Feb 8, 2008

Outcome and Prognosis

Overall goals are improvement of airway function and preservation of laryngeal function.

The endoscopic approach was found to be successful in 57-90% of cases.

Intraluminal stents were found to be successful in 80% of cases.

  • Open Approach
    • End-to-end anastomosis was found to be successful in 80-90% of cases.
    • Mortality was reported at 10-20%; it has decreased with experience.
    • Morbidity is 20-50%, secondary to the effect on laryngeal function and swallowing.
  • Augmentation Techniques
    • Successful case rates of 60-96% have been reported.
    • Grafts are susceptible to infection, resorption, displacement, and extrusion.

 


More on Subglottic Stenosis in Adults

Overview: Subglottic Stenosis in Adults
Workup: Subglottic Stenosis in Adults
Treatment: Subglottic Stenosis in Adults
Follow-up: Subglottic Stenosis in Adults
References

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Further Reading

Keywords

subglottic stenosis in adults, subglottic stenosis, acquired glottic stenosis, congenital glottic stenosis, narrowing of the subglottic area, acquired chronic subglottic stenosis, intubation, glottis, membranous stenosis, cartilaginous stenosis

Contributor Information and Disclosures

Author

James D Garnett, MD, Director of Voice and Swallowing Center, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, University of Kansas Medical Center
James D Garnett, MD is a member of the following medical societies: American Academy of Otolaryngic Allergy and American Academy of Otolaryngology-Head and Neck Surgery
Disclosure: Nothing to disclose.

Medical Editor

Anthony P Sclafani, MD, Director of Facial Plastic Surgery, The New York Eye and Ear Infirmary; Professor of Otolaryngology, New York Medical College
Anthony P Sclafani, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American College of Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Robert M Kellman, MD, Professor and Chair, Department of Otolaryngology and Communication Sciences, State University of New York Upstate Medical University
Robert M Kellman, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American College of Surgeons, American Medical Association, American Society for Head and Neck Surgery, and Medical Society of the State of New York
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
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