{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:23:48Z","timestamp":1790382228884,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T00:00:00Z","timestamp":1535328000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Develop multidisciplinary and international consensus on patient, disease, procedural, and perioperative factors, as well as key outcome measures and complications, to be reported for pediatric airway reconstruction studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Standard Delphi methods were applied. Participants proposed items in three categories: 1) patient\/disease characteristics, 2) procedural\/intraoperative\/perioperative factors, and 3) outcome measures and complications. Both general and anatomic site\u2010specific measures were elicited. Participants also suggested specific operations to be encompassed by this project. We then used iterative ranking and review to develop consensus lists via a priori Delphi consensus criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010three pediatric airway experts from eight countries in North and South America, Europe, and Australia participated, representing otolaryngology (including International Pediatric Otolaryngology Group members), pulmonology, general surgery, and cardiothoracic surgery. Consensus led to inclusion of 19 operations comprising open expansion, resection, and slide procedures of the larynx, trachea, and bronchi as well as three endoscopic procedures. Consensus was achieved on multiple patient\/comorbidity (10), disease\/stenosis (7), perioperative\u2010\/intraoperative\u2010\/procedure\u2010related (16) factors. Consensus was reached on multiple outcome and complication measures, both general and site\u2010specific (8 general, 13 supraglottic, 15 glottic, 17 subglottic, 8 cervical tracheal, 12 thoracic tracheal). The group was able to clarify how each outcome should be measured, with specific instruments defined where applicable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This consensus statement provides a framework to communicate results consistently and reproducibly, facilitating meta\u2010analyses, quality improvement, transfer of information, and surgeon self\u2010assessment. It also clarifies expert opinion on which patient, disease, procedural, and outcome measures may be important to consider in any pediatric airway reconstruction patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>5 <jats:italic>Laryngoscope<\/jats:italic>, 129:244\u2013255, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27445","type":"journal-article","created":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T17:06:55Z","timestamp":1535476015000},"page":"244-255","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":52,"title":["Outcome measures for pediatric laryngotracheal reconstruction: International consensus statement"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0244-249X","authenticated-orcid":false,"given":"Karthik","family":"Balakrishnan","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology and Mayo Clinic Children's Center  Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2088-6502","authenticated-orcid":false,"given":"Douglas R.","family":"Sidell","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Stanford University  Palo Alto California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy M.","family":"Bauman","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Children's National Health System  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaston F.","family":"Bellia\u2010Munzon","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery General Hospital of Children Pedro de Elizalde  Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Paul","family":"Boesch","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Adolescent Medicine and Mayo Clinic Children's Center Mayo Clinic  Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Bromwich","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University of Ottawa  Ottawa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelagh A.","family":"Cofer","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology and Mayo Clinic Children's Center  Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cori","family":"Daines","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Arizona Health Sciences  Tucson Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"de Alarcon","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N\u00f6el","family":"Garabedian","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0670-9937","authenticated-orcid":false,"given":"Catherine K.","family":"Hart","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan B.","family":"Ida","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Northwestern University Feinberg School of Medicine  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3466-6903","authenticated-orcid":false,"given":"Nicolas","family":"Leboulanger","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter B.","family":"Manning","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiothoracic Surgery St. Louis Children's Hospital and Washington University School of Medicine  St. Louis Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak K.","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Pediatric Otolaryngology Texas Children's Hospital  Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Monnier","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery University Hospital of Lausanne (CHUV)  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Charles M.","family":"Myer","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8123-2529","authenticated-orcid":false,"given":"Jeremy D.","family":"Prager","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Colorado  Aurora Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Preciado","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Children's National Health System  Washington DC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan J.","family":"Propst","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head &amp; Neck Surgery, Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Rahbar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Boston Children's Hospital, Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otolaryngology Our Lady's Hospital for Sick Children  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Rutter","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology and Aerodigestive and Esophageal Center Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Briac","family":"Thierry","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology H\u00f4pital Universitaire Necker\u2010Enfants Malades  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana M.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Northwestern University Feinberg School of Medicine  Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Torre","sequence":"additional","affiliation":[{"name":"Airway Team and Surgical Department Instituto Giannina Gaslini  Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricio","family":"Varela","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Department University of Chile, Clinical Las Condes Medical Center  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shyan","family":"Vijayasekaran","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Princess Margaret Hospital for Children  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina  Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre M.","family":"Wineland","sequence":"additional","affiliation":[{"name":"University of Arkansas School for Medical Sciences Department of Otolaryngology\u2013Head &amp; 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