Evidence map›Paper›PMID 40933700›Full record

ReviewFrontiers in pediatrics2025

Contemporary surgical strategies for pediatric laryngotracheal stenosis: a comprehensive review.

Hanne Oscé, Jeroen Meulemans, Greet Hens

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hanne OscéDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
Jeroen MeulemansDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.
Greet HensDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pediatric laryngotracheal stenosis (LTS) presents a complex and heterogeneous clinical challenge, requiring individualized surgical approaches to restore airway patency and function. Depending on stenosis severity, anatomical site, and comorbidities, a range of surgical techniques-including laryngotracheal reconstruction (LTR), partial cricotracheal resection (PCTR), extended PCTR, and endoscopic posterior cricoid split with rib grafting (EPCS/RG)-may be employed. Methods: This narrative review synthesizes current surgical strategies for pediatric LTS based on current literature, highlighting their indications, operative considerations, and reported outcomes. Key factors affecting surgical success, such as patient selection and perioperative management, are discussed. Results: Single-stage LTR is favored in healthy children with moderate SGS, while PCTR offers superior outcomes in severe or recurrent cases. EPCS/RG represents a minimally invasive alternative for LTR in selected cases with posterior glottic stenosis. Decannulation rates generally exceed 85% in carefully selected patients, though voice and swallowing outcomes vary by technique. Conclusion: Optimal management of pediatric LTS requires a multidisciplinary, tailored approach. Continued focus on long-term functional outcomes, technical innovations, and multicenter collaboration will further improve patient care.

Indexed as

airway surgerycricotracheal resectionlaryngotracheal reconstructionlaryngotracheal stenosispediatric airwaysubglottic stenosis

Identifiers

PMID40933700
PMCPMC12417507

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.