What question did this study set out to answer?

To quantify international clinical variation in surgical strategies for idiopathic subglottic stenosis and determine barriers and facilitators to adopting established and emerging techniques.

August 20, 2026The Laryngoscope

Global Multidisciplinary Variation in Idiopathic Subglottic Stenosis Surgical Management

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To quantify international clinical variation in surgical strategies for idiopathic subglottic stenosis and determine barriers and facilitators to adopting established and emerging techniques.
Conducted an international cross-sectional online survey of 193 clinicians (otolaryngologists, thoracic surgeons, and interventional pulmonologists) across 42 countries.
Evaluated clinician demographics, surgical technique implementation, treatment algorithms, clinician satisfaction on a 7-point Likert scale, and procedural adoption barriers using statistical and thematic analyses.
Adoption of newer techniques varied widely: in-office serial intralesional steroid injections were used by 57% of clinicians, while the Maddern procedure was used by 17%.
Overall clinician satisfaction with current strategies was moderate (mean Likert score: 5.07, SD = 1.15), with marked discrepancies in how clinicians defined treatment failure.
Fellowship-trained surgeons managed higher case volumes and were significantly more likely to perform complex open surgery (p = 0.019), with lack of experience and insufficient evidence reported as primary adoption barriers.

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Implication

Cross-sectional survey reveals broad international variation in surgical management of idiopathic subglottic stenosis, highlighting the need for standardized clinical treatment guidelines.

Cite This Study

Dronkers et al. (2026) studied this question.

synapsesocial.com/papers/6a86b57f8a91293e6a1ccf3d https://doi.org/10.1002/lary.70830

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Implication

Cross-sectional survey reveals broad international variation in surgical management of idiopathic subglottic stenosis, highlighting the need for standardized clinical treatment guidelines.

Global Multidisciplinary Variation in Idiopathic Subglottic Stenosis Surgical Management

Key Points

Discussion

Implication

Cite This Study

Global Multidisciplinary Variation in Idiopathic Subglottic Stenosis Surgical Management

Key Points

Discussion

Implication

Cite This Study

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