PMID- 36939627 OWN - NLM STAT- MEDLINE DCOM- 20230525 LR - 20230525 IS - 1097-6817 (Electronic) IS - 0194-5998 (Linking) VI - 168 IP - 6 DP - 2023 Jun TI - Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5-Year Update. PG - 1570-1575 LID - 10.1002/ohn.190 [doi] AB - 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. CI - (c) 2023 American Academy of Otolaryngology-Head and Neck Surgery Foundation. FAU - Tierney, William S AU - Tierney WS AUID- ORCID: 0000-0001-7371-9364 AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Huang, Li-Ching AU - Huang LC AD - Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA. FAU - Chen, Sheau-Chiann AU - Chen SC AD - Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA. FAU - Berry, Lynn D AU - Berry LD AD - Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA. FAU - Anderson, Catherine AU - Anderson C AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Amin, Milan R AU - Amin MR AD - Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. FAU - Benninger, Michael S AU - Benninger MS AD - Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA. FAU - Blumin, Joel H AU - Blumin JH AD - Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio, USA. FAU - Bock, Jonathan M AU - Bock JM AD - Department of Otolaryngology-Head and Neck Surgery, Cleveland Clinic, Cleveland, Ohio, USA. FAU - Bryson, Paul C AU - Bryson PC AD - Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA. FAU - Castellanos, Paul F AU - Castellanos PF AD - Department of Otolaryngology-Head and Neck Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. FAU - Clary, Matthew S AU - Clary MS AD - Department of Otolaryngology-Head and Neck Surgery, Mercy Health-St. Rita's Ear, Nose and Throat, Lima, Ohio, USA. FAU - Cohen, Seth M AU - Cohen SM AD - Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Denver, Colorado, USA. FAU - Crawley, Brianna K AU - Crawley BK AD - Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Duke University, Durham, North Carolina, USA. FAU - Dailey, Seth H AU - Dailey SH AD - Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Health, Loma Linda, California, USA. FAU - Daniero, James J AU - Daniero JJ AD - Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, USA. FAU - de Alarcon, Alessandro AU - de Alarcon A AD - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA. FAU - Donovan, Donald T AU - Donovan DT AD - Department of Otolaryngology-Head and Neck Surgery, Baylor University, Houston, Texas, USA. FAU - Edell, Eric S AU - Edell ES AD - Department of Pulmonology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Ekbom, Dale C AU - Ekbom DC AD - Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA. FAU - Fink, Daniel S AU - Fink DS AD - Department of Otolaryngology-Head and Neck Surgery, Mercy Health-St. Rita's Ear, Nose and Throat, Lima, Ohio, USA. FAU - Franco, Ramon A AU - Franco RA AD - Department of Otolaryngology-Head and Neck Surgery, Harvard University, Boston, Massachusetts, USA. FAU - Garrett, Catherine Gaelyn AU - Garrett CG AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Guardiani, Elizabeth A AU - Guardiani EA AD - Department of Otolaryngology-Head and Neck Surgery, University of Maryland, Baltimore, Maryland, USA. FAU - Hillel, Alexander T AU - Hillel AT AD - Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA. FAU - Hoffman, Henry T AU - Hoffman HT AD - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA. FAU - Hogikyan, Norman D AU - Hogikyan ND AD - Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA. FAU - Howell, Rebecca J AU - Howell RJ AD - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA. FAU - Johns, Michael M AU - Johns MM AD - Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, USA. FAU - Kasperbauer, Jan L AU - Kasperbauer JL AD - Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, USA. FAU - Khosla, Sid M AU - Khosla SM AD - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA. FAU - Kinnard, Cheryl AU - Kinnard C AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Kupfer, Robbi A AU - Kupfer RA AD - Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA. FAU - Langerman, Alexander J AU - Langerman AJ AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Lentz, Robert J AU - Lentz RJ AD - Department of Medicine, Division of Pulmonology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Lorenz, Robert R AU - Lorenz RR AD - Department of Otolaryngology-Head and Neck Surgery, New York University, New York, New York, USA. FAU - Lott, David G AU - Lott DG AD - Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Phoenix, Arizona, USA. FAU - Makani, Samir S AU - Makani SS AD - Scripps Health, Coastal Pulmonary Associates, Encinitas, California, USA. FAU - Maldonado, Fabien AU - Maldonado F AD - Department of Medicine, Division of Pulmonology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Matrka, Laura AU - Matrka L AD - Department of Otolaryngology-Head and Neck Surgery, Ohio State University, Columbus, Ohio, USA. FAU - McWhorter, Andrew J AU - McWhorter AJ AD - Department of Otolaryngology-Head and Neck Surgery, Louisiana State University, Baton Rouge, Louisiana, USA. FAU - Merati, Albert L AU - Merati AL AD - Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington, USA. FAU - Mori, Matthew AU - Mori M AD - Department of Otolaryngology-Head and Neck Surgery, Mount Sinai, New York, New York, USA. FAU - Netterville, James L AU - Netterville JL AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - O'Dell, Karla AU - O'Dell K AD - Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, USA. FAU - Ongkasuwan, Julina AU - Ongkasuwan J AD - Department of Otolaryngology-Head and Neck Surgery, Baylor University, Houston, Texas, USA. FAU - Postma, Gregory N AU - Postma GN AD - Department of Otolaryngology-Head and Neck Surgery, Augusta University Health, Augusta, Georgia, USA. FAU - Reder, Lindsay S AU - Reder LS AD - Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, California, USA. FAU - Rohde, Sarah L AU - Rohde SL AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Richardson, Brent E AU - Richardson BE AD - Department of Otolaryngology-Head and Neck Surgery, Bastian Voice Institute for Voice, Swallowing, and Airway Disorders, Downers Grove, Illinois, USA. FAU - Rickman, Otis B AU - Rickman OB AD - Department of Medicine, Division of Pulmonology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Rosen, Clark A AU - Rosen CA AD - Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco, San Francisco, California, USA. FAU - Rohlfing, Matthew AU - Rohlfing M AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Rutter, Michael J AU - Rutter MJ AD - Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, Cincinnati, Ohio, USA. FAU - Sandhu, Guri S AU - Sandhu GS AD - Department of Otolaryngology-Head and Neck Surgery, The London Clinic, London, England. FAU - Schindler, Joshua S AU - Schindler JS AD - Department of Otolaryngology-Head and Neck Surgery, Oregon Health Sciences University, Portland, Oregon, USA. FAU - Schneider, Glenn Todd AU - Schneider GT AD - Department of Otolaryngology-Head and Neck Surgery, University of Rochester Medical Center, Rochester, New York, USA. FAU - Shah, Rupali N AU - Shah RN AD - Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, USA. FAU - Sikora, Andrew G AU - Sikora AG AD - Department of Otolaryngology-Head and Neck Surgery, Baylor University, Houston, Texas, USA. FAU - Sinard, Robert J AU - Sinard RJ AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Smith, Marshall E AU - Smith ME AD - Division of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA. FAU - Smith, Libby J AU - Smith LJ AD - Department of Otolaryngology-Head and Neck Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. FAU - Soliman, Ahmed M S AU - Soliman AMS AD - Department of Otolaryngology-Head and Neck Surgery, Temple University, Philadelphia, Pennsylvania, USA. FAU - Sveinsdottir, Sigriethur AU - Sveinsdottir S AD - Department of Otolaryngology-Head and Neck Surgery, National University Hospital of Iceland, Reykjavik, Iceland, UK. FAU - Veivers, David AU - Veivers D AD - Ear Nose and Throat, University of Sydney, Sydney, Australia. FAU - Verma, Sunil P AU - Verma SP AD - Department of Otolaryngology-Head and Neck Surgery, University of California-Irvine, Irvine, California, USA. FAU - Weinberger, Paul M AU - Weinberger PM AD - Department of Otolaryngology-Head and Neck Surgery, Ark-La-Tex Center for Voice, Airway & Swallowing, Shreveport, Louisiana, USA. FAU - Weissbrod, Philip A AU - Weissbrod PA AD - Department of Otolaryngology-Head and Neck Surgery, University of California-San Diego, San Diego, California, USA. FAU - Wootten, Christopher T AU - Wootten CT AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. FAU - Shyr, Yu AU - Shyr Y AD - Department of Biostatistics, Vanderbilt University, Nashville, Tennessee, USA. FAU - Francis, David O AU - Francis DO AD - Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Health, Loma Linda, California, USA. FAU - Gelbard, Alexander AU - Gelbard A AD - Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230119 PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 SB - IM MH - Humans MH - Constriction, Pathologic MH - Prospective Studies MH - Retrospective Studies MH - *Laryngostenosis/surgery MH - Treatment Outcome OTO - NOTNLM OT - cricotracheal OT - dilation OT - dyspnea OT - endoscopic resection OT - iSGS OT - idiopathic OT - laryngology OT - subglottic stenosis OT - tracheal resection EDAT- 2023/03/21 06:00 MHDA- 2023/05/25 06:42 CRDT- 2023/03/20 11:05 PHST- 2022/08/18 00:00 [revised] PHST- 2022/02/25 00:00 [received] PHST- 2022/09/10 00:00 [accepted] PHST- 2023/05/25 06:42 [medline] PHST- 2023/03/21 06:00 [pubmed] PHST- 2023/03/20 11:05 [entrez] AID - 10.1002/ohn.190 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2023 Jun;168(6):1570-1575. doi: 10.1002/ohn.190. Epub 2023 Jan 19.