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Subglottic Stenosis in children
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Subglottic Stenosis in children

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  • 1. www.orl-marseille.comSubglottic stenosis in children with neurological disorders: management and outcomeA Abbas, R Nicollas, I Sudre-Levillain, H Belaïche, S Roman, JM Triglia Dr Ali ABBAS Pediatric ENT department Timone Children Hospital Marseille France 21/06/2006
  • 2. Patients and methods n= 178 children (93 M / 85 F) operated on for subglottic stenosis look for neurological disorders (polymalformative, cranial trauma, tumor, metabolic coma, Ondine Sd…) Comparison of 2 populations
  • 3. Patients and methods Distribution of 2 populations neuro+ n=39 22% non- neuro n=139 78%
  • 4. Results Population criteria etiology mean age grade (months)etiology : p=0,004 5% cong. 28% G2age : p<0,001 neuro + 95% acquired 104 42% G3 30% G4grade : p=0,015 26% cong. 34% G2 non-neuro 74% acquired 48 55% G3 11% G4
  • 5. Results Procedure criteria single- two-stage Procedure stage procedureprocedure : NS procedureSingle-S / two-S: 64% LTPp=0,001 neuro + 13% CTR 25 % 75 % 23% laser 56% LTP non-neuro 12% RCT 56 % 44 % 32% laser
  • 6. Results Procedure criteria Calibrating durationCalibrating duration : p=0,025 neuro + 34,5 days non-neuro 21,2 days
  • 7. Results Evolution criteria Intensive Hospitalizatio gastrostomy care unit nNS neuro + 6,25 % (n=4) 4,7 d 37,5 d non-neuro 5,75 % (n=8) 7,6 d 33,5 d
  • 8. Discussion main problem : re-alimentation Airway protectionTwo stages procedure + anti-GER treatment