Traitement des sténoses sous-glottiques de l'enfant par résection crico-trachéale [Treatment of subglottis stenosis in children by cricotracheal resection].

Details

Serval ID
serval:BIB_2336C404A70C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Traitement des sténoses sous-glottiques de l'enfant par résection crico-trachéale [Treatment of subglottis stenosis in children by cricotracheal resection].
Journal
Annales d'Oto-Laryngologie et de Chirurgie Cervico-Faciale
Author(s)
Monnier P., Lang F., Savary M.
ISSN
0003-438X (Print)
ISSN-L
0003-438X
Publication state
Published
Issued date
2001
Volume
118
Number
5
Pages
299-305
Language
french
Notes
Publication types: English Abstract ; Journal ArticlePublication Status: ppublish
Abstract
Fifty-eight infants and children with a severe subglottic stenosis underwent a partial cricotracheal resection with primary thyrotracheal anastomosis. There were 2 grade II, 40 grade III, and 16 grade IV stenoses according to the Myer-Cotton classification. A 100% subglottic lumen was formed in 34 cases and a better than 80% lumen in 23 cases. Fifty-four of the 58 (93%) patients are presently decannulated; one patient sustained a complete restenosis and three patients with a better than 80% subglottic airway still await decannulation for the following reasons: severe tracheomalacia, bilateral cricoarytenoïd joint fixation and laryngeal malformation with fusion of the vocal cords in each case respectively. Forty-four patients have no exercise intolerance, 8 live fully normally but present a slight exertional dyspnea, one patient with a laryngeal malformation is decannulated but suffers from a severe exertional dyspnea, and 4 patients are still not decannulated. The voice is normal in 20 cases, a slight dysphonia is present in 17, a moderate to severe dysphonia in another 17 and 4 patients are still not decannulated.
Keywords
Adolescent, Child, Child, Preschool, Cricoid Cartilage/surgery, Female, Humans, Infant, Laryngostenosis/surgery, Male, Postoperative Complications/epidemiology, Severity of Illness Index, Switzerland, Trachea/surgery
Pubmed
Web of science
Create date
01/05/2013 15:54
Last modification date
20/08/2019 13:00
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