His clinical practice is otological - particularly middle ear surgery, tinnitus and balance disorders. He is interested in the application of evidence (and wisdom) based medicine in otolaryngology and in otolaryngological epistemology and heuristics.
Systematic Review on Dilatation as Primary Therapy for Pediatric Laryngotracheal Stenosis
Speaker: Kristelle Chueng, MD
Date: Friday, April 20, 2012
Time: 1:55 2:02pm
San Diego, CA Balloon catheters are more effective than rigid dilators and are more effective as primary therapy for laryngotracheal stenosis (LTS) in pediatric patients.
Study results show balloon dilatation alone (4 studies, n=8) and with adjuvant therapy (7 studies, n=37), success rates were 50% and 76%, respectively. In studies using rigid dilatation alone (5 studies, n=80) and with adjuvant therapy (5 studies, n=108), success rates were 56% and 60%, respectively. Treatment algorithms based on level, type and grade of LTS were proposed.
Two independent reviewers selected original studies on primary dilatation therapy for LTS in patients younger than 18 years old. Studies on tracheobronchial stenosis or stents for tracheomalacia were excluded. Study results show, 25 of 340 identified studies (7%) met the inclusion criteria.
While examining the data, two reviewers independently appraised the level of evidence of each study, using the Oxfo
|Contact: Mary Stewart|
American Academy of Otolaryngology - Head and Neck Surgery