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The effects of balloon dilation laryngoplasty in children with congenital heart disease.
Archives of Otolaryngology - Head & Neck Surgery 2012 December
OBJECTIVE: To determine the utility of performing balloon dilation laryngoplasty of subglottic stenosis (SGS) in children with underlying congenital heart disease (CHD).
DESIGN: Retrospective study.
SETTING: Tertiary care academic health center.
PATIENTS: Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.
MAIN OUTCOME MEASURES: Clinical improvement and avoidance of tracheotomy.
RESULTS: We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.
CONCLUSIONS: Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.
DESIGN: Retrospective study.
SETTING: Tertiary care academic health center.
PATIENTS: Children with an underlying diagnosis of CHD who subsequently underwent balloon dilation laryngoplasty for SGS from January 1, 2006, through December 31, 2011.
MAIN OUTCOME MEASURES: Clinical improvement and avoidance of tracheotomy.
RESULTS: We identified 16 children who had a diagnosis of CHD and underwent direct laryngoscopy and bronchoscopy. Five patients (3 girls and 2 boys) underwent a total of 11 balloon dilations for SGS. Their ages at initial dilation ranged from 1 to 4 months. All 5 patients had grade III SGS. Only 1 patient required a salvage tracheotomy for a thick glottic web and associated SGS after her first balloon dilation failed to improve airway patency. The remaining 4 patients have had long-term success in avoiding tracheotomy with symptomatic improvement.
CONCLUSIONS: Balloon dilation represents a valuable treatment option in patients with CHD and SGS in whom a tracheostomy should be avoided.
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