دورية أكاديمية
Assessing the concern for airway complications introduced by Wendler's glottoplasty.
| العنوان: | Assessing the concern for airway complications introduced by Wendler's glottoplasty. |
|---|---|
| المؤلفون: | Root ZT; Department of Otolaryngology-Head & Neck Surgery The Ohio State University Columbus Ohio USA., Loomis BD; Department of Otolaryngology-Head & Neck Surgery The Ohio State University Columbus Ohio USA., Smith TJ; Department of Otolaryngology-Head & Neck Surgery The Ohio State University Columbus Ohio USA., Matrka LA; Department of Otolaryngology-Head & Neck Surgery The Ohio State University Columbus Ohio USA. |
| المصدر: | Laryngoscope investigative otolaryngology [Laryngoscope Investig Otolaryngol] 2023 Jun 09; Vol. 8 (4), pp. 930-933. Date of Electronic Publication: 2023 Jun 09 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 101684963 Publication Model: eCollection Cited Medium: Print ISSN: 2378-8038 (Print) Linking ISSN: 23788038 NLM ISO Abbreviation: Laryngoscope Investig Otolaryngol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Hoboken, NJ] : Wiley, [2016]- |
| مستخلص: | Objective: Wendler's glottoplasty (WG) is a pitch-elevating surgery performed by laryngologists providing gender-affirming care. The surgery creates an anterior glottic web that could theoretically cause airway concerns, either perioperatively or at the time of future procedures; such concerns are not well-described in the literature. We seek to assess surgeon opinions on airway concerns regarding WG. Method: A survey of laryngologists assessing opinions on airway considerations in glottoplasty. Results: A total of 19 physicians responded, representing approximately 193 surgeries. 52.6% performed glottoplasty and the remainder responded based on experience with anterior glottic webs. Two perioperative airway complications were reported, both mild stridor that did not prevent same-day discharge. No long-term sequela was reported. All surveyed laryngologists endorsed an altered general anesthetic approach for future procedures, with 73.7% advocating for use of a smaller endotracheal tube. 72.2% did not have "major concerns" about future intubations, and only 5.3% thought the immediate risk of airway compromise was a "real concern." 91.9% counsel their patients routinely but briefly on airway concerns. Open-ended comments conveyed themes of concern for post-operative disruption of the web more than of airway compromise. Conclusion: Because glottoplasty is performed in the anterior glottis and does not significantly impact airway patency, the risk of serious airway complications appears to be minimal. Laryngologists believe future intubations require a modified approach with a smaller tube, partly due to concern for glottic web trauma. Based on this pilot study, the topic deserves greater work to standardize care and anesthetic alterations for patients with WG. Level of Evidence: 5. Competing Interests: The authors declare no conflicts of interest. (© 2023 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.) |
| References: | JAMA Surg. 2018 Jul 1;153(7):609-616. (PMID: 29490365) Laryngoscope Investig Otolaryngol. 2023 Jun 09;8(4):930-933. (PMID: 37621271) J Acoust Soc Am. 1996 Jun;99(6):3738-48. (PMID: 8655805) Braz J Otorhinolaryngol. 2023 Jan-Feb;89(1):22-29. (PMID: 34400103) Otolaryngol Head Neck Surg. 2017 May;156(5):803-808. (PMID: 28349733) J Voice. 2014 Nov;28(6):816-21. (PMID: 24962228) J Voice. 2017 Nov;31(6):757-762. (PMID: 28372888) Laryngoscope. 2018 Sep;128(9):2101-2109. (PMID: 29573435) Anaesth Rep. 2020 Jun 05;8(1):36-39. (PMID: 32524090) Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3751-6. (PMID: 26188930) J Voice. 2013 Jul;27(4):516-22. (PMID: 23809571) |
| فهرسة مساهمة: | Keywords: Wendler's glottoplasty; anterior glottic web; glottoplasty; transgender; vocal therapy |
| تواريخ الأحداث: | Date Created: 20230825 Latest Revision: 20230919 |
| رمز التحديث: | 20230919 |
| مُعرف محوري في PubMed: | PMC10446267 |
| DOI: | 10.1002/lio2.1084 |
| PMID: | 37621271 |
| قاعدة البيانات: | MEDLINE |
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