Office based steroid injections for subglottic stenosis

Serial Intralesional Steroid Injection (SILSI) has been gaining popularity among patients and physicians as a first-line treatment for idiopathic subglottic stenosis. Patients are followed by in-office and at-home spirometry to assess the peak inspiratory flow (PIF), peak expiratory flow (PEF) and the PEF% values, along with quality-of-life instruments such as the RAND36, EQ5D and the new subglottic stenosis-specific, iSGS6. The initial procedure can be performed in the operating room using balloons and cold instruments to remove the subglottic scarring with injection of triamcinolone acetate 40 mg/cc into the subglottis.
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Authors: Source Type: research