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Red blood cell distribution width and open airway reconstruction outcomes

JAMA Otolaryngology—Head & Neck Surgery Jan 16, 2019

Xie DX, et al. - Researchers assessed 92 participants who were at least 18 years old with laryngotracheal stenosis who underwent open airway reconstruction from January 1, 2006 to January 1, 2017 to estimate the association of red blood cell distribution width (RDW) at the time of surgery with the capability to achieve a prosthesis-free airway after reconstruction. About 80% of the cases were observed to be prosthesis-free at the last follow-up. They noted a correlation of airway decannulation with lower RDW and the absence of posterior glottic stenosis. They suggested RDW, a routine laboratory parameter, might add insight into the preoperative possibility of prosthesis removal, in facilitating risk stratification, in promoting informed patient decision making, and also in optimizing health care resource management.

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