{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T21:27:50Z","timestamp":1776115670620,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,20]],"date-time":"2020-02-20T00:00:00Z","timestamp":1582156800000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the safety and efficacy in routine clinical practice of balloon dilatation procedures in the treatment of paediatric airway stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Observational data collection in prospective online research database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Acute NHS Trusts with ENT department undertaking complex paediatric airway work.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Children (&lt;18) undergoing balloon dilatation treatment for airway stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Airway diameter, complications, hospital resource usage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine patients had 133 balloon procedures during 128 visits to 10 hospitals. Sixty\u2010nine (52%) of balloon procedures were conducted with a tracheostomy. Intra\u2010operative Cotton\u2010Myer grade decreased in 43 (57%). The mean pre\u2010balloon subglottic diameter was 4.2 [95% CI: 3.8 to 4.5] mm, and its rate of increase was 0.8 [0.5 to 1.2] mm per year modelled on 30 patients' long\u2010term data. As the primary treatment of stenosis, the procedural success rate of balloon dilatation (n\u00a0=\u00a052) was 65% (22% with tracheostomy, 88% without tracheostomy), and 71% as an adjunct to open reconstructive surgery (n\u00a0=\u00a07). In the 64 hospital visits where a balloon procedure was conducted with a tracheostomy in place, only one in\u2010hospital complication (lower respiratory tract infection) occurred. For those without a tracheostomy in place, in\u2010hospital complications occurred in seven of 64 balloon hospital visits, all related to ongoing or worsening stenosis. Six out\u2010of\u2010hospital complications were deemed related to ongoing or worsening stenosis following the procedure, and two complications were a combination of lower respiratory infection and ongoing or worsening stenosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Balloon dilation increases the size of the airway intraoperatively and is associated with long\u2010term increase in airway diameter. Safety outcomes mostly relate to ongoing or worsening stenosis and are more common in patients without a tracheostomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13492","type":"journal-article","created":{"date-parts":[[2019,12,17]],"date-time":"2019-12-17T07:53:12Z","timestamp":1576569192000},"page":"334-341","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Balloon dilatation for paediatric airway stenosis: Evidence from the UK Airway Intervention Registry"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7181-4608","authenticated-orcid":false,"given":"Steven","family":"Powell","sequence":"first","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Faculty of Medical Sciences Population Health Sciences Institute University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5108-6279","authenticated-orcid":false,"given":"Kim","family":"Keltie","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Faculty of Medical Sciences Translational and Clinical Research Institute University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2300-2725","authenticated-orcid":false,"given":"Julie","family":"Burn","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3036-3374","authenticated-orcid":false,"given":"Helen","family":"Cole","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Faculty of Medical Sciences Translational and Clinical Research Institute University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2676-7675","authenticated-orcid":false,"given":"Adam","family":"Donne","sequence":"additional","affiliation":[{"name":"Alder Hey Children's NHS Foundation Trust Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2321-9024","authenticated-orcid":false,"given":"Gavin","family":"Morrison","sequence":"additional","affiliation":[{"name":"Guy's &amp; St Thomas' NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7061-1841","authenticated-orcid":false,"given":"Kate","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Birmingham Women's and Children's NHS Foundation Trust Birmingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-6332","authenticated-orcid":false,"given":"Mat","family":"Daniel","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals NHS Trust Nottingham UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9083-8151","authenticated-orcid":false,"given":"Sanjeev","family":"Gupta","sequence":"additional","affiliation":[{"name":"Sheffield Children's NHS Foundation Trust Sheffield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Wyatt","sequence":"additional","affiliation":[{"name":"Great Ormond Street Hospital for Children NHS Foundation Trust London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Patrick","sequence":"additional","affiliation":[{"name":"National Institute for Health and Care Excellence London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9553-7278","authenticated-orcid":false,"given":"Andrew","family":"Sims","sequence":"additional","affiliation":[{"name":"The Newcastle upon Tyne Hospitals NHS Foundation Trust Newcastle upon Tyne UK"},{"name":"Faculty of Medical Sciences Translational and Clinical Research Institute University of Newcastle upon Tyne Newcastle upon Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,2,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489414564249"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100131561"},{"key":"e_1_2_10_4_1","unstructured":"National Institute for Health and Care Excellence (NICE).Interventional Procedures Guidance (IPG425): Endoscopic balloon dilatation for subglottic or tracheal stenosis.2012. 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