Evidence map›Paper›PMID 42267438›Full record

ArticleThe Laryngoscope2026

Idiopathic Subglottic Stenosis in Pregnancy: A Case-Control Study of Management and Maternal Safety.

Niloufar Saeedi, Diana C Lopez-Fay, Samuel L Collins, Kevin M Motz, Ronit E Malka, Yee Chan-Li, Lee M Akst, Simon R Best, Jessica L Bienstock, Alexander T Hillel

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Niloufar SaeediDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0003-0113-5479
Diana C Lopez-FayDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-7055-367X
Samuel L CollinsDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Kevin M MotzDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-9255-7265
Ronit E MalkaDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-9864-2698
Yee Chan-LiDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-5357-8776
Lee M AkstDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-8925-0545
Simon R BestDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-8699-033X
Jessica L BienstockDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Alexander T HillelDepartment of Otolaryngology - Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0001-8471-5449

Funding

Targeting mTOR regulation of T-lymphocytes and fibroblasts in Laryngotracheal StenosisR01DC018567 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI HILLEL, ALEXANDER · 2020 to 2024
$3.8M
E-cadherin deficient epithelium drives airway fibrosis in idiopathic subglottic stenosisR01HL174875 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Alexander Hillel · 2025 to 2026
$1.5M
1/2 ASTRO: Adjuvant STeRoid Outcomes in idiopathic subglottic stenosis: A randomized trialUG3HL173394 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GELBARD, ALEXANDER, HILLEL, ALEXANDER · 2025 to 2025
$1.3M
National Institute of Deafness and Communication Disorders R01DC018567NHLBI NIH HHS R01 HL174875NHLBI NIH HHS R01HL174875NHLBI NIH HHS UG3 HL173394NHLBI NIH HHS UG3HL173394NIDCD NIH HHS R01 DC018567
6 · The paper itself

Abstract

objectiveTo evaluate safety and clinical course in pregnant idiopathic subglottic stenosis (iSGS) patients and to identify variables associated with operative dilation requirement during pregnancy.

backgroundPregnancy in patients with iSGS presents management challenges that may impact maternal and fetal health. Clinical studies and shared experiences are limited.

methodsA retrospective chart review was conducted evaluating pregnant iSGS patients and an age-matched never pregnant iSGS control group. Pregnant patients were subcategorized based on whether they required surgery during pregnancy. The analyzed variables included demographics, inter-dilation intervals, time to first recurrence, intraoperative stenosis percent, and fetal and maternal safety.

resultsThirty-three patients were included, 23 in the pregnancy group, and 10 in the control group. Thirteen patients required operative intervention during pregnancy. The mean age at iSGS diagnosis was 31.1 years. All pregnancies resulted in live births. No surgical or anesthesia-related complications were reported. Antinuclear antibody (ANA) positivity was more frequent in the surgical-intervention group compared to the nonintervention group (5/10 vs. 0, p < 0.05). The overall inter-dilation interval was longer in the pregnancy group compared to the control group (median: 70.9 vs. 39.6 weeks, p < 0.05) Average stenosis percentages in surgical dilations during and prior to pregnancy were comparable (60.4 ± 21.6 vs. 55.2 ± 27.8).

conclusionSurgical management of iSGS patients is safe during pregnancy. Greater than 50% patients experienced exacerbation during pregnancy that required operative intervention. The only notable patient-specific factor associated with dilation during pregnancy was ANA positivity. There were no pregnancy-specific factors associated with the need for intervention. LEVEL OF EVIDENCE: 3:

Indexed as

LaryngostenosisPregnancy ComplicationsAdultCase-Control StudiesFemaleHumansLaryngoscopyPregnancyPregnancy OutcomeRetrospective StudiesTreatment Outcomeendoscopic resectionidiopathic subglottic stenosismaternalpregnancyrecurrence

Identifiers

PMID42267438
PMCPMC13569711

What OpenQuestion holds

Textmetadata
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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.