{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:44:02Z","timestamp":1761007442205,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T00:00:00Z","timestamp":1742342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aims to examine outcomes following single\u2010stage laryngotracheal reconstruction (SSLTR) using a \u201cno look\u201d philosophy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Two urban, tertiary, children's hospitals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients underwent primary or revision open SSLTR by 1 of 3 surgeons at 2 institutions. After a period of planned postoperative intubation, patients were extubated in the pediatric intensive care unit (PICU), with operative inspection of the airway deferred for 6 weeks unless symptoms of stridor or distress developed postoperatively. Short\u2010term and long\u2010term clinical outcome metrics were examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2011 to 2021, 47 consecutive SSLTRs were completed, following which patients were extubated in the PICU without antecedent inspection of the airway. The mean age was 30.8 months (range: 3\u2010130 months), and the mean preoperative stenosis grade was 2.1. There were 17 anterior grafts, 1 isolated posterior graft, and 29 A\/P graft procedures; 19% of surgeries were revisions of prior open procedures.<\/jats:p><jats:p>The mean PICU and hospital length of stay were 10.1 and 12.5 days, respectively. The failure rate following extubation was 4% (0% primary and 22% revision, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.003), and 23% of patients had an unplanned return to the operating room for airway symptoms (21% primary and 33% revision, <jats:italic>P<\/jats:italic>\u2009=\u2009.44). Secondary endoscopic interventions were performed in 47% of cases; when required, the mean number of dilations was 2.2 (1.6 primary and 3.7 revision, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.05). Long\u2010term outcomes compared favorably with historical standards.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In select patients undergoing SSLTR, a \u201cno look\u201d philosophy may eliminate unnecessary surgical procedures without compromising short\u2010term or long\u2010term clinical outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.1159","type":"journal-article","created":{"date-parts":[[2025,3,19]],"date-time":"2025-03-19T10:10:00Z","timestamp":1742379000000},"page":"1995-2002","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes Following Single\u2010Stage Laryngotracheal Reconstruction Using a \u201cNo Look\u201d Extubation Philosophy"],"prefix":"10.1002","volume":"172","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0856-3396","authenticated-orcid":false,"given":"Andrew R.","family":"Scott","sequence":"first","affiliation":[{"name":"Dr. Elie E. 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