Evidence map›Paper›PMID 41311098›Full record

ArticleThe Laryngoscope2026

Inflammatory Markers Stratify Surgical Outcomes in Pediatric Airway Reconstruction.

Nomongo Dorjsuren, Hrithik Praveen, Kalpnaben Patel, Shilin Zhao, Alexander Gelbard, Christopher Wootten

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nomongo DorjsurenVanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0001-8440-5088
Hrithik PraveenVanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0003-3221-2430
Kalpnaben PatelSurgical Outcomes Center for Kids (SOCKs), Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0009-0009-1349-7005
Shilin ZhaoSurgical Outcomes Center for Kids (SOCKs), Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-3921-3965
Alexander GelbardDepartment of Otolaryngology-Head and Neck Surgery, Monroe Carell Junior Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0003-0078-1305
Christopher WoottenDepartment of Otolaryngology-Head and Neck Surgery, Monroe Carell Junior Children's Hospital at Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-9189-6353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRed blood cell distribution width (RDW) predicts surgical success in adult patients undergoing open airway reconstruction for laryngotracheal stenosis, but similar biomarkers in pediatrics remain unidentified. This study identifies predictors of outcomes in pediatric patients undergoing triple endoscopy or surgical airway reconstruction.

methodsA retrospective cohort study of 191 pediatric patients who underwent triple endoscopy or surgical airway reconstruction at an aerodigestive center between 4/18/2013 and 4/17/2023 was completed. Ninety-eight patients with lab values within 2 months of the procedure were included. Main outcome measures were prosthesis-free breathing at last follow-up, hospitalization length, and follow-up duration.

resultsLower RDW values were associated with prosthesis-free breathing at last follow-up (p = 0.042) and shorter hospitalizations (p < 0.001). Higher monocyte-to-lymphocyte ratio (MLR) and systemic inflammation response indexes (SIRI) correlated with increased length of hospitalization (p = 0.003 and p = 0.01). Neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and tracheomalacia were associated with longer follow-up periods (p = 0.04). Patients with tracheomalacia and OSA prior to intervention were more likely to require tracheostomy at last follow-up (p = 0.005 and p = 0.041).

conclusionsRDW may predict long-term surgical success and outcomes in pediatric patients with complex airway, pulmonary, and upper digestive tract disorders. Serologic markers including SIRI, MLR, NLR, and PLR may also predict outcomes. Patient demographics and surgical type did not correlate with long-term outcomes, but patients with tracheomalacia and OSA were more likely to require tracheostomy at later time points. LEVEL OF EVIDENCE: 3:

Indexed as

InflammationLaryngostenosisPlastic Surgery ProceduresTracheal StenosisAdolescentBiomarkersChildChild, PreschoolErythrocyte IndicesFemaleFollow-Up StudiesHumansInfantLength of StayMaleRetrospective StudiesBiomarkersbiomarkerserythrocyte indiceshumanslaryngostenosispediatricsretrospective studiessurgical airway reconstructiontracheal stenosistreatment outcometriple‐endoscopy

Identifiers

PMID41311098
PMCPMC12993090

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.