Evidence map›Paper›PMID 41094216›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

Management of congenital laryngeal webs in young children: a clinical study of 22 cases.

Yangyang Zheng, Jing Wang, Hongming Xu, Xiaoyan Li

Abstract read
PubMed Publisher
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yangyang ZhengDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 24, Lane 1400, West Beijing Road, Shanghai, 200040, P.R. China.
Jing WangDepartment of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 24, Lane 1400, West Beijing Road, Shanghai, 200040, P.R. China.
Hongming Xu *Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 24, Lane 1400, West Beijing Road, Shanghai, 200040, P.R. China.ORCID http://orcid.org/0009-0008-5681-0930
Xiaoyan Li *Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, No. 24, Lane 1400, West Beijing Road, Shanghai, 200040, P.R. China. chhshent@126.com.ORCID http://orcid.org/0000-0002-8874-5634

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate treatment strategies and identify prognostic factors associated with the treatment of congenital laryngeal webs in young children.

methodsA retrospective review was conducted on 22 young children with congenital laryngeal webs treated at the Shanghai Children's Hospital between January 2015 and June 2023. Demographic data, severity of the webs, treatment methods, number of surgical procedures and outcomes were systematically collected and analyzed.

results22 children (11males, 11females) were included in the study with a median age of 8.5 months. Based on Cohen classification, the degree of webs was type II in ten patients, type III in eleven patients and type IV in one patient. Subglottic involvement was observed in 12 cases. Eight patients showed a good outcome with 1-5 endoscopic surgeries while fourteen patients received further open surgery due to several failed endoscopic surgeries. All patients were finally treated successfully (decannulation or prevention of tracheostomy) with an average number of surgeries of three. The decision of open surgery introduced as remedial measures was dependent on subglottic involvement(P < 0.05). Cohen classification together with age of operation was related to the number of surgical procedures (P < 0.05).

conclusionPostoperative recurrence is a challenging risk in the treatment of congenital laryngeal webs in young children, especially for those with higher Cohen types and lower surgical age. Instead of endoscopic surgery, open surgery should be considered in case of involvement of the subglottic area. LEVEL OF EVIDENCE: 4:

Indexed as

Laryngeal DiseasesLaryngoscopyLarynxChild, PreschoolChinaFemaleHumansInfantMaleRetrospective StudiesTreatment OutcomeCongenital laryngeal webLaryngeal airwayYoung children

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.