论文信息 - Management of Laryngotracheal Stenosis on the Basis of Site and Severity

Management of Laryngotracheal Stenosis on the Basis of Site and Severity

Seventy-five cases of laryngotracheal stenosis treated between 1981 and 1991 were reviewed to determine the effectiveness of surgical treatment on the basis of site and severity of stenosis. Decannulation and absence of exertional dyspnea were the criteria of successful management. The treatment methods used were endoscopic laser incision and dilatation, expansion laryngotracheoplasty, and segmental resection. Endoscopic procedures were effective in treating thin (< 1 cm) stenoses in the subglottis and trachea. Laryngotracheoplasty was most effective in treating thick stenoses of the glottis and subglottis. Tracheal stenoses were most effectively treated by segmental resections. The probability for decannulation decreased with longer narrower stenoses and with increasing clinical stage. (OTOLARYNGOL HEAD NECK SURG 1993;109:468-73.)

T. Mccaffrey

[1] T. Mccaffrey,et al. Classification of laryngotracheal stenosis , 1992, The Laryngoscope.

[2] T. Mccaffrey. Management of Subglottic Stenosis in the Adult , 1991, The Annals of otology, rhinology, and laryngology.

[3] S. Gray,et al. Update of the cincinnati experience in pediatric laryngotracheal reconstruction , 1989, The Laryngoscope.

[4] R. Cotton. Pediatric laryngotracheal stenosis. , 1984, Journal of pediatric surgery.

[5] H. Grillo. Primary reconstruction of airway after resection of subglottic laryngeal and upper tracheal stenosis. , 1982, The Annals of thoracic surgery.

[6] J. Cooper,et al. Primary tracheal anastomosis after resection of the cricoid cartilage with preservation of recurrent laryngeal nerves. , 1975, The Journal of thoracic and cardiovascular surgery.