Journal article
A Novel Surgical Technique for Posterior Glottic Stenosis Using a Silastic Implant
Journal of voice
2020
PMID: 33358410
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
To introduce a novel surgical technique for the management of posterior glottic stenosis (PGS).
Literature review (PubMed 1973-2020) and case example of a patient treated with novel technique by principal investigator (R.T.S.)
Numerous techniques for the treatment of PGS have had varying success. Our patient, a 67-year-old male with a 2-year history of posterior glottic stenosis secondary to multiple, prolonged intubations previously had been treated with several surgical and medical interventions. Three weeks following an additional endotracheal intubation, he presented to our office with PGS recurrence, exhibiting hoarseness, and shortness of breath with any physical activity. He was treated with a silastic sheet placed through a tunnel in the stenosis and sutured posteriorly as a stent. The stent was removed 3 weeks later and the remaining stenosis was divided, successfully treating our patient's PGS with long-term improvement in both respiratory and voice complaints. This led to the design of a stent to be used for this purpose.
This new surgical technique addresses a complex clinical problem and provides otolaryngologists with a minimally invasive option for the surgical treatment of PGS that offers advantages over existing techniques. The two-stage procedure should reduce the risk of recurrence, but more experience is needed. This novel implant may be a valuable tool in the treatment of select patients with mild-moderate PGS.
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1 citations in Scopus
Details
- Title
- A Novel Surgical Technique for Posterior Glottic Stenosis Using a Silastic Implant
- Creators
- Lauren E Melley - Philadelphia College of Osteopathic MedicineGhiath Alnouri - Lankenau Institute for Medical ResearchRobert T Sataloff - Lankenau Institute for Medical Research
- Publication Details
- Journal of voice
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine; Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:001029017700001
- Scopus ID
- 2-s2.0-85098171937
- Other Identifier
- 991019173464604721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology