Laryngotracheal Reconstruction for Subglottic Stenosis

Author:

April Max M.1,Marsh Bernard R.2

Affiliation:

1. Stony Brook, New York

2. Baltimore, Maryland

Abstract

Laryngotracheal reconstruction (LTR) has been employed for the treatment of severe laryngotracheal stenosis for the past 6 years at Johns Hopkins Hospital. Thirty-one children underwent LTR with costal cartilage grafting, 24 of whom had Aboulker stents placed. Short stents were used in 22 patients. Six patients received definitive treatment in a single-stage LTR; 1 child had no stent placed. Twenty-six (84%) of the 31 patients were decannulated. It was concluded that decannulation can be obtained in selected patients with the short Aboulker stent or single-stage LTR. A new classification system for laryngotracheal stenosis, based on objective measurements and the separate analysis of posterior glottic fibrosis, was developed. The proposed classification system allows recommendations for treatment. Moreover, it can be easily reproduced and may facilitate comparison of results.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

Cited by 25 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Complications associated with costal cartilage harvest in pediatric laryngotracheal reconstruction;Laryngoscope Investigative Otolaryngology;2023-02-28

2. Airway stenting with the LT-Mold™ for severe glotto-subglottic stenosis or intractable aspiration: experience in 65 cases;European Archives of Oto-Rhino-Laryngology;2012-06-22

3. Applied Surgical Anatomy of the Larynx and Trachea;Pediatric Airway Surgery;2010-09-30

4. Minimally Invasive Techniques in Laryngotracheal Reconstruction;Otolaryngologic Clinics of North America;2008-10

5. Airway stenting with the LT-Mold™: Experience in 30 pediatric cases;International Journal of Pediatric Otorhinolaryngology;2007-09

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