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VOLUME 13 , ISSUE 3 ( September-December, 2021 ) > List of Articles

Original Article

Management of Supraglottic Stenosis: An Institutional Experience

Shiva Priya Jeyabalakrishnan, Sanjeev Mohanty

Keywords : FOL, Harmonic scalpel, Management, Stenosis, Stenting, Supraglottis

Citation Information : Jeyabalakrishnan SP, Mohanty S. Management of Supraglottic Stenosis: An Institutional Experience. Int J Otorhinolaryngol Clin 2021; 13 (3):101-105.

DOI: 10.5005/jp-journals-10003-1389

License: CC BY-NC 4.0

Published Online: 21-04-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Introduction: Supraglottic stenosis is an unusual subset of laryngotracheal stenosis that has distinctly different causes, associated symptoms, and treatment options, some of which are novel. This is a case series of patients with supraglottic stenosis and the individual treatment options used for each of these patients, and the outcome over a period of 8 years (2010–2017) is analyzed. Materials and methods: Fourteen patients of supraglottic stenosis due to different causes were identified. Quantum of surgery involved release of stenotic segment and placement of stent. All patients underwent CT neck for assessment of the site and extent of stenosis. Endoscopic assisted excision of stenotic segment was performed in 12 patients. Laryngofissure approach was used in two patients as a surgical approach. Periodic assessment of airway was done to ascertain the patency postoperatively. Results: Successful decannulation was possible in 12 out of 14 patients. Stent was removed for all patients. Eleven of the 14 patients are phonating and swallowing well. Other three patients were advised modified swallowing techniques. These patients had esophageal stricture which was released at the same sitting. Conclusion: Trauma was the most common cause of supraglottic stenosis. Endoscopic approach using laser was the most common procedure used to treat supraglottic stenosis with 85.7% success rate in experienced hands.

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