Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5‐Year Update

Authors

• William S. Tierney, Vanderbilt University, Nashville, TN
• Li-Ching Huang, Vanderbilt University, Nashville, TN
• Sheau-Chiann Chen, Vanderbilt University, Nashville, TN
• Lynn D. Berry, Vanderbilt University, Nashville, TN
• Catherine Anderson, Vanderbilt University, Nashville, TN
• Milan R. Armin, University of Wisconsin, Madison, WI
• Michael S. Benninger, New York University, New York, NY
• Joel H. Blumin, Cleveland Clinic, Cleveland, OH
• Jonathan M. Bock, Cleveland Clinic, Cleveland, OH
• Paul C. Bryson, New York University, New York, NY
• Paul F. Castellanos, Medical College of Wisconsin, Milwaukee, WI
• Matthew S. Clary, Mercy Health–St. Rita's Ear, Nose and Throat, Lima, OH
• Seth M. Cohen, University of Colorado, Denver, CO
• Brianna K. Crawley, Duke University, Durham, NC
• Seth H. Dailey, Loma Linda University Health, Loma Linda, CA
• James J. Daniero, University of Virginia, Charlottesville, VA
• Alessandro de Alarcon, University of Cincinnati, Cincinnati, OH
• Donald T. Donovan, Baylor University, Houston, TX
• Eric S. Edell, Mayo Clinic, Rochester, MN
• Dale C. Ekbom, Mayo Clinic, Rochester, MN
• Daniel S. Fink, Mercy Health–St. Rita's Ear, Nose and Throat, Lima, OH
• Ramon A. Franco, Harvard University, Boston, MA
• Catherine Gaelyn Garrett, Vanderbilt University , Nashville, TN
• Elizabeth A. Guardiani, University of Maryland, Baltimore, MD
• Alexander T. Hillel, Johns Hopkins University, Baltimore, MD
• Henry T. Hoffman, University of Iowa, Iowa City, IA
• Norman D. Hogikyan, University of Michigan, Ann Arbor, MI
• Rebecca J. Howell, University of Cincinnati, Cincinnati, OH
• Andrew McWhorter, LSU Health Sciences Center - New OrleansFollow
• et al.

Document Type

Article

Publication Date

1-19-2023

Publication Title

Otolaryngology–Head and Neck Surgery

Abstract

The North American Airway Collaborative (NoAAC) previously published a 3-year multi-institutional prospective cohort study showing variation in treatment effectiveness between 3 primary surgical techniques for idiopathic subglottic stenosis (iSGS). In this report, we update these findings to include 5 years of data evaluating treatment effectiveness. Patients in the NoAAC cohort were re-enrolled for 2 additional years and followed using the prespecified published protocol. Consistent with prior data, prospective observation of 487 iSGS patients for 5 years showed treatment effectiveness differed by modality. Cricotracheal resection maintained the lowest rate of recurrent operation (5%), followed by endoscopic resection with adjuvant medical therapy (30%) and endoscopic dilation (50%). These data support the initial observations and continue to provide value to providers and patients navigating longitudinal decision-making. Level of evidence: 2—prospective cohort study.

First Page

1570

Last Page

1575

Issue

6

Publisher

Wiley

Comments

See article for full Author List

Rights

©2022 The American Laryngological, Rhinological and Otological Society, Inc ©1999-2025 John Wiley & Sons, Inc

Recommended Citation

Tierney, William S.; Huang, Li-Ching; Chen, Sheau-Chiann; Berry, Lynn D.; Anderson, Catherine; Armin, Milan R.; Benninger, Michael S.; Blumin, Joel H.; Bock, Jonathan M.; Bryson, Paul C.; Castellanos, Paul F.; Clary, Matthew S.; Cohen, Seth M.; Crawley, Brianna K.; Dailey, Seth H.; Daniero, James J.; de Alarcon, Alessandro; Donovan, Donald T.; Edell, Eric S.; Ekbom, Dale C.; Fink, Daniel S.; Franco, Ramon A.; Garrett, Catherine Gaelyn; Guardiani, Elizabeth A.; Hillel, Alexander T.; Hoffman, Henry T.; Hogikyan, Norman D.; Howell, Rebecca J.; McWhorter, Andrew; and al., et, "Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5‐Year Update" (2023). School of Graduate Studies Faculty Publications. 490.
https://digitalscholar.lsuhsc.edu/sogs_facpubs/490
10.1002/ohn.190