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Sidell DR, Meister KD, de Alarcon A, Boudewyns A, Brigger M, Chun R, Fayoux P, Goudy S, Hart CK, Hewitt R, Hsu WC, Javia LR, Johnson RF, Messner AH, Moreddu E, Nicollas R, Prager JD, Rahbar R, Rickert S, Rossi ME, Russell J, Rutter M, Sandu K, Smith RJH, Soma M, Thierry B, Trozzi M, White DR, Balakrishnan K. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Evaluation and management of congenital tracheal stenosis. Int J Pediatr Otorhinolaryngol 2022; 161:111251. [PMID: 35988373 DOI: 10.1016/j.ijporl.2022.111251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 07/06/2022] [Accepted: 07/18/2022] [Indexed: 10/15/2022]
Abstract
OBJECTIVES To outline an expert-based consensus of recommendations for the diagnosis and management of pediatric patients with congenital tracheal stenosis. METHODS Expert opinions were sought from members of the International Pediatric Otolaryngology Group (IPOG) via completion of an 18-item survey utilizing an iterative Delphi method and review of the literature. RESULTS Forty-three members completed the survey providing recommendations regarding the initial history, clinical evaluation, diagnostic evaluation, temporizing measures, definitive repair, and post-repair care of children with congenital tracheal stenosis. CONCLUSION These recommendations are intended to be used to support clinical decision-making regarding the evaluation and management of children with congenital tracheal stenosis. Responses highlight the diverse management strategies and the importance of a multidisciplinary approach to care of these patients.
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Affiliation(s)
- Douglas R Sidell
- Stanford Children's Health Aerodigestive and Airway Reconstruction Program and Stanford University, Stanford, CA, USA
| | - Kara D Meister
- Stanford Children's Health Aerodigestive and Airway Reconstruction Program and Stanford University, Stanford, CA, USA
| | | | - An Boudewyns
- Antwerp University Hospital, University of Antwerp, Belgium
| | - Matthew Brigger
- Rady Children's Hospital and University of California San Diego, San DIego, CA, USA
| | - Robert Chun
- Medical College of Wisconsin, Milwaukee, WI, USA
| | | | - Steven Goudy
- Emory University and Children's Healthcare of Atlanta, Atlanta, GA, USA
| | - Catherine K Hart
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | | | - Wei-Chung Hsu
- National Taiwan University Hospital and Children's Hospital, Taiwan
| | - Luv R Javia
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | | | | | - Eric Moreddu
- Dept of Pediatric Otolaryngology Head and Neck Surgery, Hôpital La Timone Enfants, Marseille, France
| | - Richard Nicollas
- Dept of Pediatric Otolaryngology Head and Neck Surgery, Hôpital La Timone Enfants, Marseille, France
| | - Jeremy D Prager
- Children's Hospital Colorado, University of Colorado, Denver, CO, USA
| | | | | | | | - John Russell
- Children's Health Ireland (Crumlin), Trinity College Dublin, Dublin, Ireland
| | - Michael Rutter
- Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Kishore Sandu
- Lausanne University Hospital, CHUV, Lausanne, Switzerland
| | | | - Marlene Soma
- Sydney Children's Hospital, Edgecliff, NSW, Australia
| | - Briac Thierry
- Necker Enfants Malades Hospital - Assistance Publique Hôpitaux de Paris, Paris, France
| | | | - David R White
- Medical University of South Carolina, Charleston, SC, USA
| | - Karthik Balakrishnan
- Stanford Children's Health Aerodigestive and Airway Reconstruction Program and Stanford University, Stanford, CA, USA.
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