MARC details
| 000 -LEADER |
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| fixed length control field |
03190nam a22004337a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
231220s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0023-852X |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1002/lary.30985 [doi] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
37658702 |
| 245 ## - TITLE STATEMENT |
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| Title |
Decannulation in Revision Pediatric Laryngotracheal Reconstruction. |
| 251 ## - Source |
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| Source |
Laryngoscope. 2023 Sep 02 |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Laryngoscope. 2023 Sep 02 |
| 253 ## - Journal Name |
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| Journal name |
The Laryngoscope |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2024 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Sep 02 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
Publisher |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2023-12-20 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSION: We observe that in the case of revision pediatric open airway surgery, chance of decannulation is improved when surgery is performed in a single stage as well as 6 months after the most recent procedure. Patients and families should be counseled that complex stenosis requiring double stage procedures or anterior/posterior grafting is associated with a decreased probability of decannulation and increased postoperative time with a tracheostomy, respectively. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LEVEL OF EVIDENCE: 4 Laryngoscope, 2023. Copyright © 2023 The American Laryngological, Rhinological and Otological Society, Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: The study was a retrospective cohort investigation of children with a history of laryngotracheal stenosis treated between 2008 and 2021 with revision open airway surgery. The primary outcome evaluated was decannulation. The secondary outcome analyzed was time to decannulation. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OBJECTIVES: To evaluate how patient characteristics and surgical techniques influence the rate of and time to decannulation after pediatric revision laryngotracheal reconstruction. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: Thirty-nine children were included in the study with median age 49 months; 61.5% were male. Children undergoing single stage revision surgery were far more likely to be decannulated (OR 6.25, 95% CI 1.33-45.97, p = 0.0343). Rolling logistic regression of the probability of decannulation stratified by time between open surgeries demonstrated significantly decreased chance of decannulation with reoperation within 6 months. Children managed with anterior/posterior grafting compared with a single graft were observed to have an increased time to decannulation, (HR 0.365, 95% CI 0.148-0.899, p = 0.005, Log-Rank). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Indexing |
Automated |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Georgetown University Hospital/MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Otolaryngology Residency |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Blumenthal, Daniel |
| Institution Code |
MGUH |
| Program |
Otolaryngology Residency |
| Degree |
MD |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Leonard, James |
| Institution Code |
MGUH |
| Program |
Otolaryngology Residency |
| Degree |
MD |
| 790 ## - Authors |
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| All authors |
Leonard JA, Blumenthal DL, Behzadpour HK, Lawlor CM, Preciado D |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1002/lary.30985">https://dx.doi.org/10.1002/lary.30985</a> |
| Public note |
https://dx.doi.org/10.1002/lary.30985 |
| 858 ## - ORCID |
|---|
| ORCID text |
Blumenthal, Daniel L |
| Orcid |
<a href="https://orcid.org/0000-0002-6291-0726">https://orcid.org/0000-0002-6291-0726</a> |
| Name |
https://orcid.org/0000-0002-6291-0726 |
| 858 ## - ORCID |
|---|
| ORCID text |
Leonard, James A |
| Orcid |
<a href="https://orcid.org/0000-0002-7955-0392">https://orcid.org/0000-0002-7955-0392</a> |
| Name |
https://orcid.org/0000-0002-7955-0392 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
