Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society

被引:46
作者
Monnier, Ph. [1 ]
Dikkers, F. G. [2 ]
Eckel, H. [3 ]
Sittel, C. [4 ]
Piazza, C. [5 ]
Campos, G. [6 ]
Remacle, M. [7 ]
Peretti, G. [8 ]
机构
[1] Univ Hosp CHUV, Dept Otolaryngol Head & Neck Surg, CH-1011 Lausanne, Switzerland
[2] Univ Groningen, Univ Med Ctr Groningen, Dept Otorhinolaryngol Head & Neck Surg, Groningen, Netherlands
[3] Klinikum Klagenfurt Worthersee, Dept Otorhinolaryngol, Klagenfurt, Austria
[4] Klinikum Stuttgart, Dept Otorhinolaryngol Head & Neck Surg, Stuttgart, Germany
[5] Univ Brescia, Spedali Civili Brescia, Dept Otorhinolaryngol Head & Neck Surg, Brescia, Italy
[6] Fdn Santa Fe Univ Hosp, Inst Laringol, Dept Surg, Bogota, DC, Colombia
[7] Univ Louvain, Hosp Mt Godinne, Dept Otorhinolaryngol Head & Neck Surg, Yvoir, Belgium
[8] Univ Genoa, Dept Otorhinolaryngol Head & Neck Surg, Genoa, Italy
关键词
Laryngotracheal stenosis; Preoperative assessment; Endoscopy; Classification and grading; Adult; Pediatric; PRIMARY CRICOTRACHEAL RESECTION; SPIRAL COMPUTED-TOMOGRAPHY; PEDIATRIC AIRWAY STENOSIS; SUBGLOTTIC STENOSIS; WEGENERS GRANULOMATOSIS; RELAPSING POLYCHONDRITIS; EOSINOPHILIC ESOPHAGITIS; LARYNGEAL SARCOIDOSIS; SURGICAL-TREATMENT; FEMALE VOICE;
D O I
10.1007/s00405-015-3635-4
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Adult and pediatric laryngotracheal stenoses (LTS) comprise a wide array of various conditions that require precise preoperative assessment and classification to improve comparison of different therapeutic modalities in a matched series of patients. This consensus paper of the European Laryngological Society proposes a five-step endoscopic airway assessment and a standardized reporting system to better differentiate fresh, incipient from mature, cicatricial LTSs, simple one-level from complex multilevel LTSs and finally "healthy" from "severely morbid" patients. The proposed scoring system, which integrates all of these parameters, may be used to help define different groups of LTS patients, choose the best treatment modality for each individual patient and assess distinct post-treatment outcomes accordingly.
引用
收藏
页码:2885 / 2896
页数:12
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