Guidelines for the Management of Adult Subglottic and Tracheal Stenosis From the Korean Bronchoesophagological Society

Subglottic stenosis (SGS) and tracheal stenosis (TS) are rare conditions that can cause significant breathing difficulties and, if not properly managed, may lead to life-threatening complications. Despite their clinical importance, debate continues regarding the optimal management of adult SGS and TS, and no comprehensive guidelines have been established to date. The Korean Bronchoesophagological Society appointed a task force to develop clinical practice guidelines with the goal of providing evidence-based recommendations for managing SGS and TS in adults. The task force conducted a systematic review of the relevant literature by searching PubMed, Embase, and the Cochrane Library using predefined search terms aligned with key clinical questions. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach, which also informed the formulation and reporting of the recommendations. The strength of each recommendation reflects the guideline panel's confidence that the benefits of an intervention outweigh its risks for eligible patients. After drafting the guidelines, feedback was obtained through Delphi questionnaires completed by members of the Korean Bronchoesophagological Society. Ultimately, the committee developed 17 evidence-based recommendations across four categories: initial evaluation, medical management, surgical treatment, and postoperative management and rehabilitation. These guidelines aim to support clinicians in delivering optimal care to adult patients with SGS and TS.

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Publication Details

Journal
Clinical and Experimental Otorhinolaryngology
Published
2025-11-11
DOI
https://doi.org/10.21053/ceo.2025-00089
Primary Topic
Tracheal and airway disorders
Type
article
Field-Weighted Citation Impact
0.00
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article

Guidelines for the Management of Adult Subglottic and Tracheal Stenosis From the Korean Bronchoesophagological Society

Woo Sik Yu, Young Chan Lee, Gene Huh, Seung Hoon Woo et al.
Clinical and Experimental Otorhinolaryngology
Tracheal and airway disorders
article

Guidelines for the Management of Adult Subglottic and Tracheal Stenosis From the Korean Bronchoesophagological Society

Woo Sik Yu, Young Chan Lee, Gene Huh, Seung Hoon Woo, Gil Joon Lee, Jeon Yeob Jang, Jun‐Ook Park, Il‐Seok Park, Jin Pyeong Kim, Byeong‐Ho Jeong, Jung‐Hae Cho, Inn‐Chul Nam, Han Jo Kim, Yeon Soo Kim, Jae Hyun Jeon, Jae Won Chang, Jae‐Keun Cho, Ji Won Kim, Minhyung Lee
article en

Abstract

Subglottic stenosis (SGS) and tracheal stenosis (TS) are rare conditions that can cause significant breathing difficulties and, if not properly managed, may lead to life-threatening complications. Despite their clinical importance, debate continues regarding the optimal management of adult SGS and TS, and no comprehensive guidelines have been established to date. The Korean Bronchoesophagological Society appointed a task force to develop clinical practice guidelines with the goal of providing evidence-based recommendations for managing SGS and TS in adults. The task force conducted a systematic review of the relevant literature by searching PubMed, Embase, and the Cochrane Library using predefined search terms aligned with key clinical questions. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach, which also informed the formulation and reporting of the recommendations. The strength of each recommendation reflects the guideline panel's confidence that the benefits of an intervention outweigh its risks for eligible patients. After drafting the guidelines, feedback was obtained through Delphi questionnaires completed by members of the Korean Bronchoesophagological Society. Ultimately, the committee developed 17 evidence-based recommendations across four categories: initial evaluation, medical management, surgical treatment, and postoperative management and rehabilitation. These guidelines aim to support clinicians in delivering optimal care to adult patients with SGS and TS.

Clinical and Experimental OtorhinolaryngologyVol. 19(1)
Inje University (KR), Seoul National University (KR), Hallym University (KR), Changwon National University (KR), Gyeongsang National University (KR), Inha University (KR), Chungnam National University (KR), Samsung Medical Center (KR), Kyungpook National University (KR), Kyung Hee University (KR), The Catholic University of Korea St. Vincent's Hospital (KR), Pusan National University Yangsan Hospital (KR), Ajou University (KR), Sungkyunkwan University (KR), Catholic University of Korea (KR), Dankook University (KR)
Openalex Percentile: Top 51%
Tracheal and airway disorders
DOIOpen Access PDFOpenAlex
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