Laryngotracheal Reconstruction in Subglottic Stenosis: An Ancient Problem Still Present

Author:

Peña Juan123,Cicero Raúl143,Marín José123,Ramírez Martha123,Cruz Sergio123,Navarro Francisco143

Affiliation:

1. Mexico City, Mexico

2. the Service of Head and Neck Surgery

3. Hospital General de México.

4. Hospital de Especialidades, Centro Médico Nacional Siglo XXI, and the Pneumology Unit

Abstract

BACKGROUND: Subglottic stenosis is an ancient but persistent problem as a cause of airway obstruction. The etiology and the results of surgical treatment with thyrotracheal anastomosis were reviewed. METHODS: Fifty-six patients with subglottic stenosis were studied. All were subjected to laryngotracheal reconstruction by thyrotracheal anastomosis with partial resection of the cricoid. RESULTS: Of all 56 cases of subglottic stenosis, 48 (86%) had history of previous tracheal intubation, and only 8 (14%) had different non-neoplastic obstructive processes such as scleroma, direct injury, hamartoma, and amyloidosis. Immediate results were good in all cases. After 1 year follow-up, results of thyrotracheal anastomosis were successful in 44 (91%). In 4 other cases a restenosis was observed. Eight patients were lost to follow-up. CONCLUSIONS: Subglottic stenosis is still frequent after tracheal intubation, but other causes must be considered. Laryngotracheal reconstruction with thyrotracheal anastomosis with partial cricoid resection was feasible with good results in 91% of the cases with follow-up, but this procedure must be performed by a skilled surgical team.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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