Management of paediatric laryngotrachealstenosis and outcome in Universiti Kebangsaan Malaysia medical center

Research output: Contribution to journalArticle

Abstract

Objective: This study aimed to describe the management and outcome of paediatric Laryngotracheal Stenosis (LTS) in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from 2001 to 2015. Design: This is a retrospective study. Universal sampling technique was used in this study. Materials and methods: We have determined the common causes of paediatric LTS, predicting prognosis and progress of disease and could plan for future management for paediatric patient with LTS. Patients' characteristics by age, gender, race and prematurity were extracted from records. The etiology of stenosis, the treatment and the treatment outcome were studied. Samples were taken from UKMMC Otorhinolaryngology clinic, a tertiary center that received referral cases from various medical centers. Results: A total of 30 patients (17 males and 13 females) with the mean age of 4years 3month old were identified. The most common type was acquired which comprise of 86.7%, followed by congenital 10% and mixed stenosis of 3.3%. The majority of cases had stenosis Cotton-Myer grade III (43.3%), followed by grade I (30.0%), grade II (20.0%) and grade IV (6.7%). The most common site involved was subglottic (70%). The criteria for successful treatment were successful decannulation 6 months after treatment. From the total number of 20 patients with tracheostomy, 11 patients were successfully decanulated (decannulation rate of 55%) while 8 patient were not decannulated and 1 patient past away due to non related cause. More than half of patients were treated endoscopically (n = 24, 80%) while 6 patient undergone open surgery. From the open surgery, Partial Cricotracheal Resection and Anastomosis (PCTR) had given the success rate of 50% at 6 months and became 100% after 2 years. Conclusion: Management of paediatric LTS is technically challenged due to diversity of clinical presentations, complex associated anomalies with rarity of the disorder. Success of surgery requires careful evaluation of the entire airway and decision making.

Original languageEnglish
Pages (from-to)323-326
Number of pages4
JournalInternational Medical Journal
Volume25
Issue number5
Publication statusPublished - 1 Oct 2018
Externally publishedYes

Fingerprint

Malaysia
Pediatrics
Pathologic Constriction
Tracheostomy
Otolaryngology
Tertiary Care Centers
Decision Making
Therapeutics
Retrospective Studies

Keywords

  • Laryngotracheal stenosis
  • Larynx
  • Paediatric
  • Retrospective

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Management of paediatric laryngotrachealstenosis and outcome in Universiti Kebangsaan Malaysia medical center. / Goh, Bee See; Mesran, Izham; Zahedi, Farah Dayana.

In: International Medical Journal, Vol. 25, No. 5, 01.10.2018, p. 323-326.

Research output: Contribution to journalArticle

@article{49d05ac78c4248a493b90a9009939f02,
title = "Management of paediatric laryngotrachealstenosis and outcome in Universiti Kebangsaan Malaysia medical center",
abstract = "Objective: This study aimed to describe the management and outcome of paediatric Laryngotracheal Stenosis (LTS) in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from 2001 to 2015. Design: This is a retrospective study. Universal sampling technique was used in this study. Materials and methods: We have determined the common causes of paediatric LTS, predicting prognosis and progress of disease and could plan for future management for paediatric patient with LTS. Patients' characteristics by age, gender, race and prematurity were extracted from records. The etiology of stenosis, the treatment and the treatment outcome were studied. Samples were taken from UKMMC Otorhinolaryngology clinic, a tertiary center that received referral cases from various medical centers. Results: A total of 30 patients (17 males and 13 females) with the mean age of 4years 3month old were identified. The most common type was acquired which comprise of 86.7{\%}, followed by congenital 10{\%} and mixed stenosis of 3.3{\%}. The majority of cases had stenosis Cotton-Myer grade III (43.3{\%}), followed by grade I (30.0{\%}), grade II (20.0{\%}) and grade IV (6.7{\%}). The most common site involved was subglottic (70{\%}). The criteria for successful treatment were successful decannulation 6 months after treatment. From the total number of 20 patients with tracheostomy, 11 patients were successfully decanulated (decannulation rate of 55{\%}) while 8 patient were not decannulated and 1 patient past away due to non related cause. More than half of patients were treated endoscopically (n = 24, 80{\%}) while 6 patient undergone open surgery. From the open surgery, Partial Cricotracheal Resection and Anastomosis (PCTR) had given the success rate of 50{\%} at 6 months and became 100{\%} after 2 years. Conclusion: Management of paediatric LTS is technically challenged due to diversity of clinical presentations, complex associated anomalies with rarity of the disorder. Success of surgery requires careful evaluation of the entire airway and decision making.",
keywords = "Laryngotracheal stenosis, Larynx, Paediatric, Retrospective",
author = "Goh, {Bee See} and Izham Mesran and Zahedi, {Farah Dayana}",
year = "2018",
month = "10",
day = "1",
language = "English",
volume = "25",
pages = "323--326",
journal = "International Medical Journal",
issn = "1341-2051",
publisher = "Japan International Cultural Exchange Foundation",
number = "5",

}

TY - JOUR

T1 - Management of paediatric laryngotrachealstenosis and outcome in Universiti Kebangsaan Malaysia medical center

AU - Goh, Bee See

AU - Mesran, Izham

AU - Zahedi, Farah Dayana

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Objective: This study aimed to describe the management and outcome of paediatric Laryngotracheal Stenosis (LTS) in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from 2001 to 2015. Design: This is a retrospective study. Universal sampling technique was used in this study. Materials and methods: We have determined the common causes of paediatric LTS, predicting prognosis and progress of disease and could plan for future management for paediatric patient with LTS. Patients' characteristics by age, gender, race and prematurity were extracted from records. The etiology of stenosis, the treatment and the treatment outcome were studied. Samples were taken from UKMMC Otorhinolaryngology clinic, a tertiary center that received referral cases from various medical centers. Results: A total of 30 patients (17 males and 13 females) with the mean age of 4years 3month old were identified. The most common type was acquired which comprise of 86.7%, followed by congenital 10% and mixed stenosis of 3.3%. The majority of cases had stenosis Cotton-Myer grade III (43.3%), followed by grade I (30.0%), grade II (20.0%) and grade IV (6.7%). The most common site involved was subglottic (70%). The criteria for successful treatment were successful decannulation 6 months after treatment. From the total number of 20 patients with tracheostomy, 11 patients were successfully decanulated (decannulation rate of 55%) while 8 patient were not decannulated and 1 patient past away due to non related cause. More than half of patients were treated endoscopically (n = 24, 80%) while 6 patient undergone open surgery. From the open surgery, Partial Cricotracheal Resection and Anastomosis (PCTR) had given the success rate of 50% at 6 months and became 100% after 2 years. Conclusion: Management of paediatric LTS is technically challenged due to diversity of clinical presentations, complex associated anomalies with rarity of the disorder. Success of surgery requires careful evaluation of the entire airway and decision making.

AB - Objective: This study aimed to describe the management and outcome of paediatric Laryngotracheal Stenosis (LTS) in Universiti Kebangsaan Malaysia Medical Centre (UKMMC) from 2001 to 2015. Design: This is a retrospective study. Universal sampling technique was used in this study. Materials and methods: We have determined the common causes of paediatric LTS, predicting prognosis and progress of disease and could plan for future management for paediatric patient with LTS. Patients' characteristics by age, gender, race and prematurity were extracted from records. The etiology of stenosis, the treatment and the treatment outcome were studied. Samples were taken from UKMMC Otorhinolaryngology clinic, a tertiary center that received referral cases from various medical centers. Results: A total of 30 patients (17 males and 13 females) with the mean age of 4years 3month old were identified. The most common type was acquired which comprise of 86.7%, followed by congenital 10% and mixed stenosis of 3.3%. The majority of cases had stenosis Cotton-Myer grade III (43.3%), followed by grade I (30.0%), grade II (20.0%) and grade IV (6.7%). The most common site involved was subglottic (70%). The criteria for successful treatment were successful decannulation 6 months after treatment. From the total number of 20 patients with tracheostomy, 11 patients were successfully decanulated (decannulation rate of 55%) while 8 patient were not decannulated and 1 patient past away due to non related cause. More than half of patients were treated endoscopically (n = 24, 80%) while 6 patient undergone open surgery. From the open surgery, Partial Cricotracheal Resection and Anastomosis (PCTR) had given the success rate of 50% at 6 months and became 100% after 2 years. Conclusion: Management of paediatric LTS is technically challenged due to diversity of clinical presentations, complex associated anomalies with rarity of the disorder. Success of surgery requires careful evaluation of the entire airway and decision making.

KW - Laryngotracheal stenosis

KW - Larynx

KW - Paediatric

KW - Retrospective

UR - http://www.scopus.com/inward/record.url?scp=85053427239&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053427239&partnerID=8YFLogxK

M3 - Article

AN - SCOPUS:85053427239

VL - 25

SP - 323

EP - 326

JO - International Medical Journal

JF - International Medical Journal

SN - 1341-2051

IS - 5

ER -