title: Surgical management of posterior glottic diastasis in children.
abstract: BACKGROUND
  The purpose of this study was to report our clinical experience in the surgical management of patients with posterior glottic diastasis (PGD) secondary to prolonged intubation and/or laryngotracheoplasty (LTP) during childhood.
  
  
  METHODS
  We reviewed the charts of patients with a history of prolonged intubation and/or LTP who had undergone surgical correction for PGD at our institution between 2010 and 2014. We documented demographic data and pertinent information regarding medical and surgical histories. The Pediatric Voice Handicap Index (pVHI) and/or the Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) were used to assess patients both before and after undergoing treatment for voice disorders.
  
  
  RESULTS
  Six patients met our inclusion criteria. With 1 exception, all patients with complete voice data demonstrated improvements in perceptual, patient-reported, and acoustic voice measures. There were no perioperative complications.
  
  
  CONCLUSIONS
  Our case series demonstrates that operative intervention can lead to improved voice in carefully selected patients with PGD secondary to prolonged intubation and/or LTP during childhood. Patients exhibited postoperative improvement in loudness and vocal endurance; however, they also exhibited a degree of compromise in voice quality.
authors: Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors: Douglas R
authors: DR
authors: Sidell
authors: Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Communication Sciences Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Centers for Pediatric Voice Disorders, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors: Stephanie
authors: S
authors: Zacharias
authors: Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors: Karthik
authors: K
authors: Balakrishnan
authors: Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Aerodigestive and Esophageal Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
authors: Michael J
authors: MJ
authors: Rutter
authors: Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Communication Sciences Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Centers for Pediatric Voice Disorders, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Aerodigestive and Esophageal Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA alessandro.dealarcon@cchmc.org.
authors: Alessandro
authors: A
authors: de Alarcón
mesh_terms: D000293:Adolescent; D001193:Arytenoid Cartilage / Q000601:surgery*; D002648:Child; D003413:Cricoid Cartilage / Q000601:surgery*; D055154:Dysphonia / Q000209:etiology* / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D005931:Glottis; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D058753:Laryngoplasty / Q000009:adverse effects; D008297:Male; D012189:Retrospective Studies; D014140:Tracheotomy / Q000009:adverse effects; D016896:Treatment Outcome; D055815:Young Adult
keywords: dysphonia; laryngotracheoplasty; pediatric; posterior glottic diastasis; voice disorders