Singh Noor, Chorney Stephen R, Johnson Romaine F, Teplitzky Taylor B
University of Maryland College of Arts and Sciences College Park Maryland USA.
University of Texas Southwestern Medical Center Department of Otolaryngology - Head & Neck Surgery Dallas Texas USA.
Laryngoscope Investig Otolaryngol. 2025 May 10;10(3):e70157. doi: 10.1002/lio2.70157. eCollection 2025 Jun.
To review swallowing outcomes after pediatric laryngotracheal reconstruction.
A scoping review was conducted through PubMed and Google Scholar databases for dysphagia outcomes after common pediatric airway surgery. Original full-text articles written in English between 1987 and 2024 were included. Articles were excluded if data was unavailable to review or were not in English. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) Guidelines were followed.
There were 31 articles included, which assessed swallowing after laryngotracheal reconstruction. Laryngotracheal reconstruction can result in transient post-operative dysphagia, with the degree of severity related to preoperative swallowing status.
Most airway reconstructive surgery in children can be associated with postoperative dysphagia. However, the swallow dysfunction is typically transient and can be predicted by comorbidities or preoperative swallow function. Timely assessments and appropriate multidisciplinary interventions are essential to improve swallowing outcomes after pediatric laryngotracheal reconstruction.
回顾小儿喉气管重建术后的吞咽结果。
通过PubMed和谷歌学术数据库对常见小儿气道手术后的吞咽困难结果进行范围综述。纳入1987年至2024年间用英文撰写的原始全文文章。如果无法获取数据进行综述或文章不是英文的，则予以排除。遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。
纳入31篇文章，这些文章评估了喉气管重建术后的吞咽情况。喉气管重建可导致术后短暂性吞咽困难，严重程度与术前吞咽状况相关。
大多数小儿气道重建手术可能与术后吞咽困难有关。然而，吞咽功能障碍通常是短暂的，并且可以通过合并症或术前吞咽功能来预测。及时评估和适当的多学科干预对于改善小儿喉气管重建术后的吞咽结果至关重要。
4级。
