2018 Section 6 - Laryngology, Voice Disorders, and Bronchoesophalogy

Ann Thorac Surg 2017;103:246 – 53

SHADMEHR ET AL

SYSTEMIC STEROIDS IN TRACHEAL STENOSIS

Fig 1. Flow chart of participants in the study. (AR ¼ airway resec- tion; FU ¼ follow-up; RBD ¼ repeated bronchoscopic dilation.)

Comment As a referral center for airway surgery with more than 2,200 patients already registered in our database, we are faced with a number of patients with PITS every week.

There was no complication relating to corticosteroid use other than 1 patient who had stomach ache, which responded well to proton-pump inhibitor administration. Surgical results for both groups are summarized in Table 7 . Table 4. Demographics and Intubation Characteristics Characteristics

Corticosteroid

Placebo

p Value

Age, years

27.9 (9.8)

27.2 (11.6)

0.747

Sex

Male

33 (66%) 17 (34%)

39 (70.9%) 16 (29.1%)

0.675

Female

Cause of intubation Trauma

23 (46%) 27 (32%)

33 (60%) 22 (14.5%)

0.146

Nontrauma a

Duration of intubation, days History of tracheostomy

12.5 (9.1)

15.0 (10.1)

0.193 0.902 0.209

14 (28%)

16 (29.1%)

Days between intubation and fi rst bronchoscopy

57.8 (34.3)

66.1 (32.4)

a Suicide, poisoning, postoperation, other.

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