In the age in which less is more and endoscopic approaches are attaining increasing acceptance, Maresh and associates compared the efficacy of endoscopic balloon dilation (EBD) vs laryngotrachoplasty (LTP) for children with subglottic stenosis. As expected, of 90 patients treated between 2006 and 2012, they found that those with mild stenosis were more likely to undergo successful treatment with EBD vs those with severe stenosis. Fourteen patients were successfully treated with EBD, whereas 13 proceeded to LTP after EBD failure. Those initially treated with EBD had more unplanned urgent interventions but fewer airway interventions or evaluations under anesthesia.
Highlights. JAMA Otolaryngol Head Neck Surg. 2014;140(10):895. doi:10.1001/jamaoto.2013.4315