PMID- 32772565
OWN - NLM
STAT- MEDLINE
DCOM- 20210118
LR  - 20220419
IS  - 1943-572X (Electronic)
IS  - 0003-4894 (Linking)
VI  - 130
IP  - 2
DP  - 2021 Feb
TI  - Idiopathic Subglottic Stenosis during Pregnancy: A Support Group Survey.
PG  - 188-194
LID - 10.1177/0003489420947780 [doi]
AB  - OBJECTIVES: (1) To determine how pregnancy affects idiopathic subglottic stenosis 
      (iSGS) symptoms. (2) To determine treatments utilized (including operating room 
      (OR) and in-office procedures) for iSGS before, during, and after pregnancy. 
      METHODS: A 24-question survey was distributed to an international iSGS support 
      group to assess the patient experience among individuals who have been pregnant 
      with diagnosis of iSGS. Descriptive statistics and chi(2) analyses were 
      completed. RESULTS: A total of 413 iSGS patients participated; 84.7% (n = 350) of 
      patients were diagnosed prior to menopause. A total of 25.5% patients reported 
      being pregnant when they had airway stenosis; 71.1% of those reported more severe 
      airway symptoms during pregnancy. The proportion of patients that reported 
      requiring >/=1 OR interventions (microlaryngoscopy and bronchoscopy, laser, balloon 
      dilation, or steroid injection) before, during and after pregnancy was the 
      following, respectively: 37.3%, 35.6%, 51.3%. Whereas the proportion of patients 
      that reported requiring >/=1 in-office interventions (awake balloon dilation or 
      steroid injection) before, during and after pregnancy was the following, 
      respectively: 13.6%, 11.8%, 15.8%. Number of pregnancies and age of diagnosis was 
      not related to severity of symptoms or requiring more airway interventions 
      (P > .05). CONCLUSIONS: This survey reveals worsening of symptoms during 
      pregnancy, however, this did not lead to increase in operative or clinic 
      interventions to improve airway symptoms during pregnancy. Future avenues for 
      research include optimizing management of airway symptoms during pregnancy to 
      limit OR-based interventions. LEVEL OF EVIDENCE: Level IV.
FAU - McCrary, Hilary
AU  - McCrary H
AUID- ORCID: 0000-0002-9523-0727
AD  - Division of Otolaryngology-Head and Neck Surgery, University of Utah School of 
      Medicine, Salt Lake City, UT, USA.
FAU - Torrecillas, Vanessa
AU  - Torrecillas V
AD  - Division of Otolaryngology-Head and Neck Surgery, University of Utah School of 
      Medicine, Salt Lake City, UT, USA.
FAU - Conley, Matthew
AU  - Conley M
AD  - University of Utah School of Medicine, Salt Lake City, UT, USA.
FAU - Anderson, Catherine
AU  - Anderson C
AD  - Australian Market and Social Research Society, Sydney, NSW, Australia.
FAU - Smith, Marshall
AU  - Smith M
AD  - Division of Otolaryngology-Head and Neck Surgery, University of Utah School of 
      Medicine, Salt Lake City, UT, USA.
LA  - eng
PT  - Journal Article
DEP - 20200808
PL  - United States
TA  - Ann Otol Rhinol Laryngol
JT  - The Annals of otology, rhinology, and laryngology
JID - 0407300
RN  - 0 (Glucocorticoids)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Bronchoscopy
MH  - Dilatation
MH  - Female
MH  - Glucocorticoids/therapeutic use
MH  - Humans
MH  - Laryngoscopy
MH  - Laryngostenosis/*therapy
MH  - Middle Aged
MH  - Pregnancy
MH  - Pregnancy Complications/*therapy
MH  - Puerperal Disorders/*therapy
MH  - Self-Help Groups
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - airway surgery
OT  - idiopathic subglottic stenosis
OT  - stridor
OT  - subglottic stenosis
OT  - survey
EDAT- 2020/08/11 06:00
MHDA- 2021/01/20 06:00
CRDT- 2020/08/11 06:00
PHST- 2020/08/11 06:00 [pubmed]
PHST- 2021/01/20 06:00 [medline]
PHST- 2020/08/11 06:00 [entrez]
AID - 10.1177/0003489420947780 [doi]
PST - ppublish
SO  - Ann Otol Rhinol Laryngol. 2021 Feb;130(2):188-194. doi: 10.1177/0003489420947780. 
      Epub 2020 Aug 8.