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<p>Endoscopic dilatation and open surgery has been the main stay of treatment for subglottic stenosis/ upper tracheal stenosis. The major disadvantage is restenosis and the need for repeated surgeries under general anaesthesia. Office Based Serial Intralesional Steroid Injections can be used as an effective adjuvant technique which can obviate the need for surgery. Our objective is to evaluate the effect of office based serial intralesional steroid injections after endoscopic dilation on surgery-free interval and symptomatic improvement in adults with subglottic and upper tracheal stenosis. Out of 7 cases with Grade 2 or Grade 3 subglottic and upper tracheal stenosis, all the patients did not require any repeat intervention for 18 months and were symptomatically better. Serial in-office ISI are safe, simple, effective and well-tolerated in adults with subglottic and upper tracheal stenosis. This technique spares the patient ordeal of repeated surgeries and keeps them symptom free without any further interventions.</p>

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Office Based Serial Intralesional Steroid Injections for Airway Stenosis: A Preliminary Study in the Indian Population

  • 期刊论文

  • 发表日期：

    2025年9月8日

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  • Nilanjan Bhowmick,
  • Charisha David,
  • Snehapali Bansode,
  • Sachin Goel

摘要

Endoscopic dilatation and open surgery has been the main stay of treatment for subglottic stenosis/ upper tracheal stenosis. The major disadvantage is restenosis and the need for repeated surgeries under general anaesthesia. Office Based Serial Intralesional Steroid Injections can be used as an effective adjuvant technique which can obviate the need for surgery. Our objective is to evaluate the effect of office based serial intralesional steroid injections after endoscopic dilation on surgery-free interval and symptomatic improvement in adults with subglottic and upper tracheal stenosis. Out of 7 cases with Grade 2 or Grade 3 subglottic and upper tracheal stenosis, all the patients did not require any repeat intervention for 18 months and were symptomatically better. Serial in-office ISI are safe, simple, effective and well-tolerated in adults with subglottic and upper tracheal stenosis. This technique spares the patient ordeal of repeated surgeries and keeps them symptom free without any further interventions.