Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.

Details

Serval ID
serval:BIB_BE8704203E88
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.
Journal
The Laryngoscope
Author(s)
Rovó L., Erdélyi E., Tóbiás Z., Gál P., Szegesdi I., Sztanó B., Sandu K. (co-last), Bach Á.
ISSN
1531-4995 (Electronic)
ISSN-L
0023-852X
Publication state
Published
Issued date
04/2020
Peer-reviewed
Oui
Volume
130
Number
4
Pages
E199-E205
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Subglottic stenosis is the most common laryngeal anomaly necessitating tracheostomy in early childhood. Crico- and laryngotracheal resection and laryngotracheal reconstruction-usually with autologous cartilage graft implantation-are the most effective treatments. These surgical techniques are obviously challenging in neonatal age and infancy. However, a reconstructive surgery performed at early age may prevent the sequel of complications.
The authors present their novel surgical method for congenital subglottic stenosis. Seven infants had inspiratory stridor; two of them had to be intubated and one required tracheostomy. Laryngotracheoscopy, CT or MRI revealed subglottic stenosis: Cotton-Myer grade II in one, and grade III in six cases. Slide laryngotracheoplasty was performed before 5 months of age (10-130 days), with a follow-up period of average 36 months (4-80 months). Phoniatry and quality of life questionnaire were used for evaluation of postoperative results.
Slide laryngotracheoplasty in the neonatal age made the temporary tracheostomy unnecessary. All babies remained intubated for 3 to 10 days with an uncuffed tracheal tube. After extubation, no dyspnea or swallowing disorder occurred. A subjective quality of life questionnaire, laryngotracheoscopy, clinical growth charts showed satisfactory functional results.
Single-stage slide laryngotracheoplasty might be a favorable solution for subglottic stenosis, even in early childhood. In one step, the airway can be maintained without stenting and tracheostomy.
4 Laryngoscope, 130:E199-E205, 2020.
Keywords
Subglottic stenosis, congenital stridor, neonatal, slide laryngotracheoplasty
Pubmed
Web of science
Create date
06/08/2019 16:32
Last modification date
09/09/2020 5:21
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