{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:14:42Z","timestamp":1780391682777,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"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":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Suprastomal stents are routinely used in laryngotracheal reconstruction (LTR) to stabilize grafts and provide framework to sites of repair. However, the duration of stenting varies according to patient history and physician preference. We examined outcomes of short\u2010 versus long\u2010term stenting in children with subglottic stenosis (SGS) undergoing LTR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care pediatric hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Thirty\u2010six children &lt;18 years old who underwent double\u2010stage LTR for SGS from January 2012 to January 2015 were included. Demographic data, stenosis grade, and decannulation rates were compared between children with short\u2010term stenting (\u226421\u00a0days; n = 14) and those with long\u2010term stenting (&gt;21\u00a0days; n = 22).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant difference between groups was seen for sex, age, race, or previous repair. Children in the short\u2010term group were stented for 10.9 \u00b1 4.9\u00a0days, compared with 44.0 \u00b1 10.6 for those long\u2010term (<jats:italic>P<\/jats:italic> &lt;. 0001). A similar number of children with short\u2010 versus long\u2010term stents had grade 3\/4 stenosis preoperatively (71.4% vs 77.2%). Although time to decannulation was not significantly different, 72.7% of children with long\u2010term stents were decannulated, as opposed to 35.7% with short\u2010term stents (<jats:italic>P<\/jats:italic> =. 03). After adjusting for grade at surgery and age, children with long\u2010term stents had 4.3\u00a0greater odds (95% CI, 1.0\u201018.3) of decannulation than children with short\u2010term stents.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Children with long\u2010term stenting were more likely to be successfully decannulated. Although long\u2010term stenting improved outcomes for children with SGS, additional research is needed to better define ideal candidates for short\u2010 versus long\u2010term stenting.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599817737757","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T11:21:10Z","timestamp":1508844070000},"page":"375-380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Short\u2010 versus Long\u2010term Stenting in Children with Subglottic Stenosis Undergoing Laryngotracheal Reconstruction"],"prefix":"10.1002","volume":"158","author":[{"given":"David F.","family":"Smith","sequence":"first","affiliation":[{"name":"Division of Pulmonary Medicine Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"de Alarcon","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niall D.","family":"Jefferson","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith E.","family":"Tabangin","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Epidemiology Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Rutter","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin T.","family":"Cotton","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine K.","family":"Hart","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati 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