{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:49:42Z","timestamp":1791913782443,"version":"4.3.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,12,17]],"date-time":"2014-12-17T00:00:00Z","timestamp":1418774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess the impact of suspension microlaryngoscopy with balloon dilation on voice-related quality of life (V-RQOL) in laryngotracheal stenosis (LTS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective chart review of LTS patients dilated at a tertiary-care academic hospital from 2010 to 2013. Data were obtained and then analyzed. LTS was stratified by (1) subglottic or tracheal stenosis and (2) multilevel stenosis (MLS; glottic and subglottic\/tracheal). Pre- and postoperative V-RQOL and grade, roughness, breathiness, asthenia, strain (GRBAS) scores were compared. The number and frequency of balloon dilation procedures over the lifetime were secondary outcome variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty-eight patients were identified: 26 subglottic\/tracheal and 12 multilevel. Of these, 71.4% required multiple dilations, with greatest dilations\/patient for multilevel stenosis (4.8). V-RQOL improved in the 27 patients with completed pre- and postoperative scores from a mean of 70.4 to 80 ( P = .025). Pre\/postoperative V-RQOLs for tracheal\/subglottic (mean, 82.8\/93.8) were significantly higher ( P = .0001\/.0001) than multilevel stenosis (48\/55.3). Voice quality-of-life improvement was significant for the subglottic\/tracheal cohort ( P = .036) but not for the MLS group. GRBAS was performed pre- and postoperatively in 10 patients with improvement in all domains except breathiness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laryngotracheal stenosis is associated with dysphonia. Patients with glottic involvement have significantly worse voice quality of life than those with tracheal\/subglottic stenosis. Endoscopic balloon dilation improves V-RQOL in patients with subglottic\/tracheal stenosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489414564249","type":"journal-article","created":{"date-parts":[[2014,12,18]],"date-time":"2014-12-18T13:40:40Z","timestamp":1418910040000},"page":"413-418","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Voice Quality in Laryngotracheal Stenosis"],"prefix":"10.1177","volume":"124","author":[{"given":"Alexander T.","family":"Hillel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selmin","family":"Karatayli-Ozgursoy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James R.","family":"Benke","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Best","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulette","family":"Pacheco-Lopez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Teets","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head-Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, 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