{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T11:14:09Z","timestamp":1762341249999,"version":"3.40.5"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T00:00:00Z","timestamp":1551744000000},"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":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>Laryngotracheal reconstruction (LTR) is a collection of procedures used to tr<jats:italic>e<\/jats:italic>at pediatric laryngotracheal stenosis. Arytenoid prolapse is a potential postoperative complication that may lead to upper airway obstruction. This study investigates the incidence, risk factors, and need for surgical intervention for post\u2010LTR arytenoid prolapse.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The charts of 107 patients who underwent a total of 119 LTR procedures between 2005 and 2018 at a tertiary free\u2010standing children's hospital were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of post\u2010LTR arytenoid prolapse was 7.6%. Age, glottic involvement, tracheostomy status, vocal cord paralysis, and balloon dilation had no effect on arytenoid prolapse development. Sixteen percent of procedures performed in children &lt;8\u2009kg resulted in arytenoid prolapse, versus 4.5% of procedures performed in children &gt;8\u2009kg (<jats:italic>P<\/jats:italic> =\u2009.036). One hundred percent 100% of patients with post\u2010LTR arytenoid prolapse had placement of a posterior graft. Multivariate analysis confirmed both weight\u2009&lt;8\u2009kg and posterior graft use to be significantly associated with arytenoid prolapse (<jats:italic>P<\/jats:italic> =\u2009.027 and .039, respectively). Three of the nine patients with arytenoid prolapse were symptomatic and weighed &lt;8\u2009kg at time of surgery. One required voice therapy; two required surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence of arytenoid prolapse is 7.6% following LTR. Patients undergoing posterior graft LTR or weigh &lt;8\u2009kg at time of surgery are more likely to develop arytenoid prolapse. Children &lt;8\u2009kg at time of surgery who develop arytenoid prolapse are more likely to be symptomatic and require further intervention. These findings are valuable for preoperative risk assessment of pediatric laryngotracheal stenosis management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 130:247\u2013251, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27864","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T02:34:00Z","timestamp":1551839640000},"page":"247-251","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["An evaluation of arytenoid prolapse following laryngotracheal reconstruction"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-7522","authenticated-orcid":false,"given":"Lilun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A"},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaelan","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A"},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"White","sequence":"additional","affiliation":[{"name":"School of Medicine Drexel University College of Medicine  Philadelphia Pennsylvania U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Zalzal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A"},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Preciado","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Children's National Health System  Washington DC U.S.A"},{"name":"Division of Otolaryngology George Washington University  Washington DC U.S.A"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200101000-00009"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1742"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910801101"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2016.03.012"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.01.002"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.6.737"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.04.004"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000302"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.05.034"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00020"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.11.035"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900020094014"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.10.896"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111001204"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.109007"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.3.320"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.10.024"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.131.6.505"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880130084012"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-13535-4"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.27864","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27864","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.27864","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.27864","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T19:32:57Z","timestamp":1694201577000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.27864"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,5]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/lary.27864"],"URL":"https:\/\/doi.org\/10.1002\/lary.27864","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2019,3,5]]},"assertion":[{"value":"2018-12-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}