{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:23:30Z","timestamp":1730870610609,"version":"3.28.0"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die idiopathische subglottische Stenose ist eine zirkul\u00e4re narbige Einengung des Atemweges am \u00dcbergang vom Ringknorpel auf die Trachea. Die Stenose befindet sich radiologisch und endoskopisch im Niveau des Ringknorpels ohne Beteiligung des Ring- oder Tracheaknorpels selbst. Die Erkrankung bef\u00e4llt praktisch nur Frauen zwischen dem 20. und 60. Lebensjahr. Dasselbe Krankheitsbild tritt bei der Granulomatose mit Polyangiitis und seltener bei anderen Autoimmunerkrankungen auf und erfordert dort eine systemische Behandlung. Die Klinik beginnt i.\u00a0d.\u00a0R. schleichend mit Husten und Auswurf und f\u00fchrt im Verlauf zu Dyspnoe und zu einem eingeschr\u00e4nkten Hustensto\u00df. Da der Verlauf schleichend ist und die Patientinnen sonst gesund sind, werden die Beschwerden oft fehlgedeutet und die Diagnose wird verz\u00f6gert. Die Behandlung besteht in lokalen Ma\u00dfnahmen von der Dilatation \u00fcber die laserchirurgische Resektion, z.\u00a0T. mit lokaler Applikation von Medikamenten, die eine Proliferation von neuem\n      Narbengewebe hemmen sollen, bis zur laryngotrachealen Resektion verschiedenen Ausma\u00dfes. Die Erkrankung liegt im Grenzgebiet zwischen Trachea und Larynx und die Patienten und Patientinnen werden deshalb von der HNO-Heilkunde, der Pneumologie und der Thoraxchirurgie betreut.<\/jats:p>","DOI":"10.1055\/a-2241-0616","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T23:49:30Z","timestamp":1708040970000},"page":"308-314","source":"Crossref","is-referenced-by-count":0,"title":["Idiopathische subglottische Tracheastenose"],"prefix":"10.1055","volume":"149","author":[{"given":"Erich","family":"Stoelben","sequence":"additional","affiliation":[{"name":"Thoraxklinik, St. Hildegardiskrankenhaus, K\u00f6ln, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2225","DOI":"10.1007\/s00405-017-4512-0","article-title":"Idiopathic subglottic stenosis: an epidemiological single-center 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