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Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society

Monnier, Ph ; Dikkers, F. ; Eckel, H. ; Sittel, C. ; Piazza, C. ; Campos, G. ; Remacle, M. ; Peretti, G.

In: European Archives of Oto-Rhino-Laryngology, 2015, vol. 272, no. 10, p. 2885-2896

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    Title
    • Preoperative assessment and classification of benign laryngotracheal stenosis: a consensus paper of the European Laryngological Society
    Author
    • Monnier, Ph. Department of Otolaryngology, Head and Neck Surgery, University Hospital CHUV, Rue du Bugnon 46, 1011, Lausanne, Switzerland
    • Dikkers, F.. Department of Otorhinolaryngology/Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
    • Eckel, H.. Department of Oto-Rhino-Laryngology, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria
    • Sittel, C.. Department of Otorhinolaryngology/Head and Neck Surgery, Klinikum Stuttgart, Stuttgart, Germany
    • Piazza, C.. Department of Otorhinolaryngology/Head and Neck Surgery, Spedali Civili of Brescia, University of Brescia, Brescia, Italy
    • Campos, G.. Department of Surgery, Instituto de Laringología, Fundación Santa Fe University Hospital, Bogotá, DC, Colombia
    • Remacle, M.. Department of Otorhinolaryngology, Head and Neck Surgery, Louvain University Hospital of Mont-Godinne, Yvoir, Belgium
    • Peretti, G.. Department of Otorhinolaryngology, Head and Neck Surgery, University of Genoa, Genoa, Italy
    Document Type
    • Postprint
    Language
    • English
    Published in
    • European Archives of Oto-Rhino-Laryngology, 2015, vol. 272, no. 10, p. 2885-2896. Springer Berlin Heidelberg
    Other Version
    OAI-PMH Identifier
    • oai:doc.rero.ch:332398
    Summary
    Adult and pediatric laryngotracheal stenoses (LTS) comprise a wide array of various conditions that require precise preoperative assessment and classification to improve comparison of different therapeutic modalities in a matched series of patients. This consensus paper of the European Laryngological Society proposes a five-step endoscopic airway assessment and a standardized reporting system to better differentiate fresh, incipient from mature, cicatricial LTSs, simple one-level from complex multilevel LTSs and finally "healthy” from "severely morbid” patients. The proposed scoring system, which integrates all of these parameters, may be used to help define different groups of LTS patients, choose the best treatment modality for each individual patient and assess distinct post-treatment outcomes accordingly.