{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:18:29Z","timestamp":1782919109094,"version":"3.54.5"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T00:00:00Z","timestamp":1487030400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Idiopathic subglottic stenosis (iSGS) is rare, and its cause remains elusive. Treatment options include empiric medical therapy and endoscopic or open surgery. We present our results for open surgical technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review (1978\u20102015).<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects\/Methods<\/jats:title><jats:p>Thirty\u2010three patients (32 female; median age, 51 years) met inclusion criteria and underwent cricotracheal resection with thyrotracheal anastomosis, tracheal resection with primary anastomosis, or laryngotracheoplasty with rib grafting. Continuous variables were summarized using medians and ranges while categorical features are presented using frequency counts and percentages.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixteen patients (48%) underwent a single\u2010stage approach with immediate extubation or temporary intubation following surgery (median, 1\u00a0day; range, 1\u20103\u00a0days). Seventeen patients (52%) underwent a double\u2010staged approach with a median time to decannulation of 35\u00a0days (range, 13\u2010100\u00a0days). Twenty\u2010four (73%) patients underwent a previous intervention. Median stay in the intensive care unit was 1\u00a0day (range, 0\u20103\u00a0days), with a median hospital stay of 4\u00a0days (range, 2\u20107\u00a0days). Recurrence requiring further surgical intervention was observed in 12 patients (36%). The median time to recurrence was 8 years over an average follow\u2010up of 9.7 years. The most common complaint following surgery was change in voice quality (fair to poor; n = 10; 30%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Open surgery should be reserved for refractory cases of iSGS; cricotracheal resection with thyrotracheal anastomosis is the preferred open technique. Recurrence may occur after open treatment, highlighting the importance of long\u2010term follow\u2010up. Patients should be counseled about the potential for worsening voice quality with the open approach.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817691955","type":"journal-article","created":{"date-parts":[[2017,2,14]],"date-time":"2017-02-14T15:23:41Z","timestamp":1487085821000},"page":"906-911","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Idiopathic Subglottic Stenosis: Long\u2010Term Outcomes of Open Surgical Techniques"],"prefix":"10.1002","volume":"156","author":[{"given":"Deanna C.","family":"Menapace","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic Minnesota Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara C.","family":"Modest","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic Minnesota Rochester Minnesota 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