{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T15:40:02Z","timestamp":1717947602883},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T00:00:00Z","timestamp":1434499200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115001553_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To suggest a phonosurgical management strategy that can be used for children who have previously undergone laryngotracheal reconstruction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115001553_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>This cases series describes three children who presented with complex, multi-level airway stenosis and marked dysphonia. Phonosurgical intervention involved endoscopic and open approaches, and was combined with voice therapy. A phonosurgical reconstruction management algorithm is suggested for evaluating and treating these complex conditions.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115001553_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Pre-operative assessment is critical, and should involve voice analysis and glottal anatomy assessment using office laryngoscopy and stroboscopy. The risks must be weighed up against the benefit of vocal improvement. Surgical intervention should involve combined endoscopic and open approaches.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115001553_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Voice restoration after paediatric airway reconstruction is a complex challenge. Surgical intervention should be conducted in a step-by-step manner to reduce the risk of worsening dysphonia and airway compromise. The risks and benefits must be carefully explored and discussed.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115001553","type":"journal-article","created":{"date-parts":[[2015,6,17]],"date-time":"2015-06-17T03:01:04Z","timestamp":1434510064000},"page":"820-824","source":"Crossref","is-referenced-by-count":1,"title":["Managing dysphonia in paediatric patients with complex airway conditions"],"prefix":"10.1017","volume":"129","author":[{"given":"S","family":"Ojha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Setlur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Bunting","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C J","family":"Hartnick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,6,17]]},"reference":[{"key":"S0022215115001553_ref5","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880170028005"},{"key":"S0022215115001553_ref1","first-page":"1","article-title":"The problem of pediatric laryngotracheal stenosis: a clinical and experimental study on the efficacy of autogenous cartilaginous grafts placed between the vertically divided halves of the posterior lamina of the cricoid cartilage","volume":"101","author":"Cotton","year":"1991","journal-title":"Laryngoscope"},{"key":"S0022215115001553_ref2","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1017\/S0022215100600464","article-title":"Speech and language development in children with acquired subglottic stenosis","volume":"17","author":"Sell","year":"1988","journal-title":"J Laryngol Otol Suppl"},{"key":"S0022215115001553_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890230035008"},{"key":"S0022215115001553_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/0194599810391198"},{"key":"S0022215115001553_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(94)01170-3"},{"key":"S0022215115001553_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2005.08.012"},{"key":"S0022215115001553_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(92)90050-Y"},{"key":"S0022215115001553_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000710"},{"key":"S0022215115001553_ref7","volume-title":"Pediatric Aerodigestive Disorders","author":"Zur","year":"2009"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215115001553","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T15:05:02Z","timestamp":1717945502000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215115001553\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,6,17]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["S0022215115001553"],"URL":"https:\/\/doi.org\/10.1017\/s0022215115001553","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,6,17]]}}}