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The use of balloon dilation in pediatric subglottic stenosis, experience at Queen Rania Al-Abdullah Hospital for Children
Joint Authors
al-Jabbur, Wijdan
al-Misri, Hazim
al-Zayyud, Raid
al-Safadi, Iyad
al-Suud, Nidal
Source
Journal of the Royal Medical Services
Issue
Vol. 25, Issue 1 (30 Apr. 2018), pp.44-49, 6 p.
Publisher
The Royal Medical Services Jordan Armed Forces
Publication Date
2018-04-30
Country of Publication
Jordan
No. of Pages
6
Main Subjects
Abstract EN
Objective: To evaluate the outcomes of balloon dilation and Mitomycein-C application in the endoscopic management of pediatric patients with subglottic stenosis (SGS).
Methods: A total number of 32 children 18 boys, 14 girls, age 1-7 years.
20 children (12 boys, 8 girls) had primary acute subglottic stenosis after intubation for 1-6 days (group (1).
12children (6 boys, 6 girls) had recurrent subglottic stenosis post intubation group (2).
All children in this group had been treated multiple times previously with bronchoscopic dilation without response.
22 children (13 boys, 9 girls) had moderate to severe SGS.10 children (5 girls, 5 boys) had mild to moderate SGS.
All children (groups (1) + (2) were treated with appropriate width cardiac vessel Balloon dilators endoscopically using apnoic technique without intubation.
Mitomycin-C was applied in all patients post dilation.
Results: Group (1) who had primary balloon dilation with Mitomycin-C application, 14 children (70%) had successful balloon dilation and they did not necessitate further sessions of dilation and their SGS was cured, 4 children (20%) necessitate two sessions of dilation with 3&5 weeks interval.
Two children (10%) necessitates 3 sessions of dilation, 2 weeks and 8 weeks after the first dilation to get their SGS nearly cured.
In all sessions we used Mitomycin-C application after dilation.
Group (2) who had been treated previously with bronchoscopic dilation.
12 of 12(100%) had at least 4 sessions of balloon dilations and Mitomycin-C application, with 3-4 weeks intervals and all of them after 2 years of follow up still have a some degree of SGS that is not severely symptomatic.
American Psychological Association (APA)
al-Misri, Hazim& al-Safadi, Iyad& al-Jabbur, Wijdan& al-Suud, Nidal& al-Zayyud, Raid. 2018. The use of balloon dilation in pediatric subglottic stenosis, experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services،Vol. 25, no. 1, pp.44-49.
https://search.emarefa.net/detail/BIM-838587
Modern Language Association (MLA)
al-Misri, Hazim…[et al.]. The use of balloon dilation in pediatric subglottic stenosis, experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services Vol. 25, no. 1 (Apr. 2018), pp.44-49.
https://search.emarefa.net/detail/BIM-838587
American Medical Association (AMA)
al-Misri, Hazim& al-Safadi, Iyad& al-Jabbur, Wijdan& al-Suud, Nidal& al-Zayyud, Raid. The use of balloon dilation in pediatric subglottic stenosis, experience at Queen Rania Al-Abdullah Hospital for Children. Journal of the Royal Medical Services. 2018. Vol. 25, no. 1, pp.44-49.
https://search.emarefa.net/detail/BIM-838587
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 48-49
Record ID
BIM-838587