Pediatrics

Voice outcome and voice-related quality of life after surgery for pediatric laryngotracheal stenosis

Corresponding Author

Bas Pullens MD

[email protected]

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

Send correspondence to B. Pullens, Department of Otorhinolaryngology, Erasmus Medical Center, Sophia Children's Hospital, Room SP 1455, Dr Molewaterplein 60, 3015 GJ, Rotterdam, the Netherlands. E-mail: [email protected]Search for more papers by this author

Marieke Hakkesteegt PhD,

Marieke Hakkesteegt PhD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

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Hans Hoeve PhD,

Hans Hoeve PhD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

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Marieke Timmerman MD,

Marieke Timmerman MD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

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Koen Joosten PhD,

Koen Joosten PhD

Department of Pediatrics, Pediatric Intensive Care Unit, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

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Bas Pullens MD,

Corresponding Author

Bas Pullens MD

[email protected]

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

Marieke Hakkesteegt PhD,

Marieke Hakkesteegt PhD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

Search for more papers by this author

Hans Hoeve PhD,

Hans Hoeve PhD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

Search for more papers by this author

Marieke Timmerman MD,

Marieke Timmerman MD

Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

Search for more papers by this author

Koen Joosten PhD,

Koen Joosten PhD

Department of Pediatrics, Pediatric Intensive Care Unit, Erasmus Medical Center, Sophia Children's Hospital, Rotterdam, The Netherlands

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First published: 09 November 2016

https://doi.org/10.1002/lary.26374

Citations: 23

Financial Disclosure: Erasmus University Rotterdam Trust Fund, reference number 97030.23/11.0530. The authors have no other funding, financial relationships, or conflicts of interest to disclose.

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Abstract

Objectives

To evaluate the long-term outcome of voice quality and voice-related quality of life after open airway surgery for pediatric laryngotracheal stenosis.

Study Design

Prospective cohort study.

Methods

Children under the age of 18 years at time of follow-up and with a history of open airway surgery for acquired laryngotracheal stenosis were included in this analysis. To assess voice-related quality of life, the pediatric voice handicap (pVHI) index was completed by the patients' parents. The dysphonia severity index (DSI) was used as an objective measurement for voice quality.

Results

Fifty-five parents completed the pVHI, and 38 children completed the DSI. This showed high pVHI values and low total DSI scores, indicating significant voice disturbance. After multivariate analysis, the presence of comorbidities and glottic involvement of the stenosis are associated with poor long-term voice-related quality of life.

Conclusion

Significant voice disturbance is common after surgery for pediatric laryngotracheal stenosis. Glottic involvement of the stenosis and comorbidities is associated with poor voice-related quality of life. Evaluation of pre- and postoperative voice quality and voice-related quality of life is advised for children treated for laryngotracheal stenosis.

Level of Evidence

2B. Laryngoscope, 127:1707–1711, 2017

BIBLIOGRAPHY

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Citing Literature

Volume127, Issue7

July 2017

Pages 1707-1711

Voice outcome and voice-related quality of life after surgery for pediatric laryngotracheal stenosis

Abstract

Objectives

Study Design

Methods

Results

Conclusion

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Information

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Voice outcome and voice-related quality of life after surgery for pediatric laryngotracheal stenosis

Abstract

Objectives

Study Design

Methods

Results

Conclusion

Level of Evidence

BIBLIOGRAPHY

Citing Literature

References

Related

Information