{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T23:32:52Z","timestamp":1780443172197,"version":"3.54.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T00:00:00Z","timestamp":1723075200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["World j. otorhinolaryngol.-head neck surg."],"published-print":{"date-parts":[[2025,9]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n A recent innovation in the management of tracheostomy\u2010dependent patients with laryngotracheal stenosis (LTS) has been the customizable laryngotracheal stent, made by dividing a T\u2010tube in half (\u201cL stent\u201d). These L stents can be placed into the subglottis as well as the posterior glottis to prevent rapid re\u2010stenosis following surgery, and they are easily removed in the office. We sought to review our experience with these stents and analyze patterns of success and failure.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Retrospective chart review was performed of all tracheostomy\u2010dependent patients who underwent L stent placement from January 2019 through February 2024. Clinical and demographic data were reviewed, with decannulation as the primary endpoint. Patients were assessed as having comorbid conditions (diabetes, coronary artery disease, morbid obesity, prior radiation) or not.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 16 patients underwent stent placement. Six patients had posterior glottic stenosis (PGS), six had subglottic stenosis (SGS), and four had multilevel stenosis. Of these 16 patients, 9 were ultimately decannulated (56.2%). Three of the successes were PGS (33.3%), four were SGS (44.4%), and two had both SGS and PGS (22.2%). Patients who were decannulated were statistically less likely to have comorbid conditions than patients who failed decannulation (\n p<\/jats:italic>\n \u2009=\u20090.0350).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n For tracheostomy\u2010dependent patients who have failed first\u2010line therapy, endoscopic surgery paired with L stent placement offers a reasonable alternative to open airway reconstruction or more destructive arytenoidectomy or cordotomy procedures. As with most airway surgeries, patient selection is important, as the presence of multilevel stenosis and\/or comorbid conditions can predict a higher failure rate.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/wjo2.204","type":"journal-article","created":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T01:46:18Z","timestamp":1723167978000},"page":"462-467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Using a customizable L stent for laryngotracheal stenosis: Patterns of success and failure"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-0014-5744","authenticated-orcid":false,"given":"Nicolas J.","family":"Casellas","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eytan","family":"Keidar","sequence":"additional","affiliation":[{"name":"Michigan State University East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mursalin M.","family":"Anis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David E.","family":"Rosow","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.284"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26682"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30800"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/01455613211005119"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894800894S401"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39294-3"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2007.01551.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418802284"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-005-0948-8"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.02.071"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.05.079"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30635"},{"key":"e_1_2_11_14_1","first-page":"839","article-title":"[Analysis of the risk factors causing tracheal stenosis after tracheotomy for mechanical ventilation in 560 patients]","volume":"42","author":"Wu X","year":"2007","journal-title":"Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24956"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jccw.2014.05.002"},{"key":"e_1_2_11_17_1","article-title":"Obesity and surgical wound healing: a current review","volume":"2014","author":"Pierpont YN","year":"2014","journal-title":"ISRN Obes"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22364"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.6105-20"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amsu.2021.102468"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.3.879"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjtc.2023.09.004"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001340050645"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.492"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200008000-00014"}],"container-title":["World Journal of Otorhinolaryngology - Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/wjo2.204","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:19:19Z","timestamp":1763457559000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/wjo2.204"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,8]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1002\/wjo2.204"],"URL":"https:\/\/doi.org\/10.1002\/wjo2.204","archive":["Portico"],"relation":{},"ISSN":["2095-8811","2589-1081"],"issn-type":[{"value":"2095-8811","type":"print"},{"value":"2589-1081","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,8]]},"assertion":[{"value":"2024-05-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}