The effect of gastroesophageal reflux on laryngotracheal reconstruction

Archives of Otolaryngology--head & Neck Surgery
G H ZalzalK M Patel

Abstract

To determine the need for preoperative evaluation for gastroesophageal reflux disease (GERD) in all children undergoing laryngotracheal reconstruction (LTR) and to assess the effect of GERD on the outcome of LTR. Prospective, single-blind observational study. Tertiary care children's hospital. Seventy-four pediatric patients with laryngotracheal stenosis who underwent LTR at the Children's National Medical Center, Washington, DC, from October 1, 1986, through August 31, 1994. Evaluation for and treatment of GERD, LTR, endoscopy, and removal of granulation tissue. Successful decannulation and number of endoscopies required to remove laryngeal and tracheal granulation tissue. Seventy-four patients underwent 82 LTRs. The senior surgeon was blinded to the status of GERD evaluation and treatment. Four groups were identified: 37 patients (40 LTRs) with no preoperative evaluation for GERD; 10 patients (11 LTRs) with normal findings on preoperative evaluation for GERD; seven patients (nine LTRs) with abnormal findings on preoperative evaluation for GERD but who failed to receive appropriate treatment; and 20 patients (22 LTRs) with abnormal findings on preoperative evaluation for GERD who received appropriate therapy. Severity and exte...Continue Reading

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