A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery

Wendy Cohen, David M Wynne, Susan Lloyd, Richard Townsley

Research output: Contribution to conferenceAbstract

Abstract

Background: Laryngeal airway narrowing from subglottic stenosis (SGS) may be congenital or acquired, with many SGS cases acquired following intubation or laryngotracheal injury. Two main approaches to reconstructive surgical management exist: laryngotracheal reconstruction (LTR) and partial cricotracheal resection (CTR). LTR and CTR procedures have been undertaken in Glasgow since the early 1980s. A retrospective audit of parents’ perspectives on quality of life for their children showed parental concerns related to breathing, respiratory tract infection and voice quality; in addition to concerns relating to independence and the ability to lead a normal life. This study evaluated in detail a range of vocal parameters in children over the age of 5 who have had LTR/CTR at the hospital in Glasgow. Methods: 21% of the existing cohort of children who had LTR or CTR at the hospital opted to take part in the study. Awake laryngoscopy and voice recordings using a standard protocol were taken for each participant and prepared for a range of acoustic and perceptual analyses and comparison to available normative data. Parent and child perspectives on voice related quality of life were also gathered. Results: For some children there were normal laryngoscopy ratings along with aspects of normally evaluated voice. For others voice quality remains impaired. These will be presented in relation to the laryngoscopy and voice data. Conclusion: For some children, normal voice is a potential outcome following LTR/CTR and this finding is of particular value for professionals supporting young children about to have LTR or CTR procedures.

Conference

ConferenceCutting Edge Laryngology
CountryUnited Kingdom
CityLondon
Period5/10/167/10/16
Internet address

Fingerprint

Voice Quality
Laryngoscopy
Laryngostenosis
Quality of Life
Aptitude
Acoustics
Intubation
Respiratory Tract Infections
Pathologic Constriction
Respiration
Parents
Wounds and Injuries

Keywords

  • laryngology
  • laryngo-tracheal reconstruction
  • subglottic stenosis

Cite this

Cohen, W., Wynne, D. M., Lloyd, S., & Townsley, R. (2016). A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery. Abstract from Cutting Edge Laryngology, London, United Kingdom.
Cohen, Wendy ; Wynne, David M ; Lloyd, Susan ; Townsley, Richard. / A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery. Abstract from Cutting Edge Laryngology, London, United Kingdom.
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abstract = "Background: Laryngeal airway narrowing from subglottic stenosis (SGS) may be congenital or acquired, with many SGS cases acquired following intubation or laryngotracheal injury. Two main approaches to reconstructive surgical management exist: laryngotracheal reconstruction (LTR) and partial cricotracheal resection (CTR). LTR and CTR procedures have been undertaken in Glasgow since the early 1980s. A retrospective audit of parents’ perspectives on quality of life for their children showed parental concerns related to breathing, respiratory tract infection and voice quality; in addition to concerns relating to independence and the ability to lead a normal life. This study evaluated in detail a range of vocal parameters in children over the age of 5 who have had LTR/CTR at the hospital in Glasgow. Methods: 21{\%} of the existing cohort of children who had LTR or CTR at the hospital opted to take part in the study. Awake laryngoscopy and voice recordings using a standard protocol were taken for each participant and prepared for a range of acoustic and perceptual analyses and comparison to available normative data. Parent and child perspectives on voice related quality of life were also gathered. Results: For some children there were normal laryngoscopy ratings along with aspects of normally evaluated voice. For others voice quality remains impaired. These will be presented in relation to the laryngoscopy and voice data. Conclusion: For some children, normal voice is a potential outcome following LTR/CTR and this finding is of particular value for professionals supporting young children about to have LTR or CTR procedures.",
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Cohen, W, Wynne, DM, Lloyd, S & Townsley, R 2016, 'A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery' Cutting Edge Laryngology, London, United Kingdom, 5/10/16 - 7/10/16, .

A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery. / Cohen, Wendy; Wynne, David M; Lloyd, Susan; Townsley, Richard.

2016. Abstract from Cutting Edge Laryngology, London, United Kingdom.

Research output: Contribution to conferenceAbstract

TY - CONF

T1 - A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery

AU - Cohen, Wendy

AU - Wynne, David M

AU - Lloyd, Susan

AU - Townsley, Richard

PY - 2016/10/7

Y1 - 2016/10/7

N2 - Background: Laryngeal airway narrowing from subglottic stenosis (SGS) may be congenital or acquired, with many SGS cases acquired following intubation or laryngotracheal injury. Two main approaches to reconstructive surgical management exist: laryngotracheal reconstruction (LTR) and partial cricotracheal resection (CTR). LTR and CTR procedures have been undertaken in Glasgow since the early 1980s. A retrospective audit of parents’ perspectives on quality of life for their children showed parental concerns related to breathing, respiratory tract infection and voice quality; in addition to concerns relating to independence and the ability to lead a normal life. This study evaluated in detail a range of vocal parameters in children over the age of 5 who have had LTR/CTR at the hospital in Glasgow. Methods: 21% of the existing cohort of children who had LTR or CTR at the hospital opted to take part in the study. Awake laryngoscopy and voice recordings using a standard protocol were taken for each participant and prepared for a range of acoustic and perceptual analyses and comparison to available normative data. Parent and child perspectives on voice related quality of life were also gathered. Results: For some children there were normal laryngoscopy ratings along with aspects of normally evaluated voice. For others voice quality remains impaired. These will be presented in relation to the laryngoscopy and voice data. Conclusion: For some children, normal voice is a potential outcome following LTR/CTR and this finding is of particular value for professionals supporting young children about to have LTR or CTR procedures.

AB - Background: Laryngeal airway narrowing from subglottic stenosis (SGS) may be congenital or acquired, with many SGS cases acquired following intubation or laryngotracheal injury. Two main approaches to reconstructive surgical management exist: laryngotracheal reconstruction (LTR) and partial cricotracheal resection (CTR). LTR and CTR procedures have been undertaken in Glasgow since the early 1980s. A retrospective audit of parents’ perspectives on quality of life for their children showed parental concerns related to breathing, respiratory tract infection and voice quality; in addition to concerns relating to independence and the ability to lead a normal life. This study evaluated in detail a range of vocal parameters in children over the age of 5 who have had LTR/CTR at the hospital in Glasgow. Methods: 21% of the existing cohort of children who had LTR or CTR at the hospital opted to take part in the study. Awake laryngoscopy and voice recordings using a standard protocol were taken for each participant and prepared for a range of acoustic and perceptual analyses and comparison to available normative data. Parent and child perspectives on voice related quality of life were also gathered. Results: For some children there were normal laryngoscopy ratings along with aspects of normally evaluated voice. For others voice quality remains impaired. These will be presented in relation to the laryngoscopy and voice data. Conclusion: For some children, normal voice is a potential outcome following LTR/CTR and this finding is of particular value for professionals supporting young children about to have LTR or CTR procedures.

KW - laryngology

KW - laryngo-tracheal reconstruction

KW - subglottic stenosis

UR - http://www.laryngologyconference.com/

M3 - Abstract

ER -

Cohen W, Wynne DM, Lloyd S, Townsley R. A long term follow up of voice outcomes in children following laryngo-tracheal reconstruction or crichotracheal resection surgery. 2016. Abstract from Cutting Edge Laryngology, London, United Kingdom.