{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T02:08:56Z","timestamp":1783908536979,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Investigate synchronous lower airway findings during bronchoscopy in idiopathic subglottic stenosis (iSGS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective analysis of bronchoscopic images from adult iSGS patients (January 2018\u2013June 2021). Images were reviewed for pits, depressions, nodules, and striations distal to the cricotracheal junction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010eight female patients; mean age 56\u2009years. Comorbidities: gastroesophageal reflux 34%, hypertension 34%, diabetes mellitus 25%. All patients had pits and depressions; striations in 48\/48, with both longitudinal and transverse in 32\/48 (66.7%), transverse only in 13\/48 (27.1%), and longitudinal only in 3\/48 (6.3%). Spirometry available in 32; 60% showed normal or mild\u2013moderate fixed obstruction. Four patients had FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC &lt;\u20090.7; two had asthma, one COPD, and one no obstructive diagnosis; none were smokers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bronchial mucosal abnormalities are prevalent in iSGS and may indicate distal airway involvement. Routine flexible bronchoscopy should be considered during evaluation and surveillance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70543","type":"journal-article","created":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T15:10:39Z","timestamp":1776006639000},"page":"3527-3533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bronchial Mucosal Abnormalities in Idiopathic Subglottic Stenosis"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3955-450X","authenticated-orcid":false,"given":"Sydney","family":"Ring","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2010Head and Neck Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6542-7932","authenticated-orcid":false,"given":"Andrew Jay","family":"Bowen","sequence":"additional","affiliation":[{"name":"Metrohealth Medical Center  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0081-2972","authenticated-orcid":false,"given":"Tessa","family":"Griffin","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"},{"name":"University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8002-152X","authenticated-orcid":false,"given":"J. Scott","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Division of Allergy, Pulmonary, and Critical Care, Department of Medicine University of Wisconsin School of Medicine and Public Health  Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth H.","family":"Dailey","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery, Department of Surgery University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25708"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.3022"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.754"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs\u20102945067\/v1"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2007.12.017"},{"issue":"5","key":"e_1_2_12_7_1","first-page":"1402","article-title":"Idiopathic Subglottic Stenosis","volume":"76","author":"Brandenburg J. 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