HSC Section 6 Nov2016 Green Book

Taylor SC, Clayburgh DR, Rosenbaum JT, Schindler JS. Clinical manifestations and treatment of idiopathic and Wegener granulomatosis-associated subglottic stenosis. JAMA Otolaryngol Head Neck Surg . 2013; 139(1):76-81. EBM level 4...............179-184 Summary: This article compares the clinical presentation, treatments, and outcomes in patients with subglottic stenosis (SGS) due to granulomatosis with polyangiitis (GPA, previously Wegener granulomatosis) versus idiopathic SGS. Although retrospective, this article has some interesting comparisons between the groups after similar treatment. For example, following open airway reconstruction, no idiopathic SGS patients required subsequent endoscopic dilations, while all GPA-SGS patients required subsequent interventions and had a higher rate of tracheotomy.