{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:36:08Z","timestamp":1786448168532,"version":"build-2736575974"},"reference-count":72,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"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":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126105040_sec1a\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>As rheumatoid arthritis of the cricoarytenoid joint can be life-threatening, this study aimed to provide a comparison of survival and decannulation after tracheostomy for those with this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105040_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following Preferred Reporting Items for Systematic Review and Meta-Analyses (\u2018PRISMA\u2019) guidelines, PubMed, Web of Science, Scopus, Embase and MEDLINE library databases were queried to find all reported cases of rheumatoid arthritis of the cricoarytenoid joint.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105040_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 55 articles with 82 patients were included in the analysis. The mean age at diagnosis was 60.1 \u00b1 11.2 years. In cases of bilateral involvement, 71.2 per cent of patients required a tracheostomy. For those who had bilateral cricoarytenoid joint involvement and a tracheostomy, there was a significant relationship between having a primary laryngeal surgery, with or without medical management, and overall survival with ultimate decannulation compared with those with just medical management (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0022).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105040_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Tracheostomy is often necessary for acute symptom management of rheumatoid arthritis of the cricoarytenoid joint, and laryngeal surgery may be offered to facilitate ultimate decannulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126105040","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T09:52:04Z","timestamp":1780307524000},"page":"710-717","source":"Crossref","is-referenced-by-count":0,"title":["Rheumatoid arthritis of the cricoarytenoid joint: is early surgery superior to medical management in survival and decannulation after tracheostomy? 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