Article: article from journal or magazin.
Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.
European Archives of Oto-Rhino-Laryngology
Publication types: Journal ArticlePublication Status: ppublish
In our study, 60 infants and children, each with a severe subglottic stenosis (SGS), underwent partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis. According to the Myer-Cotton classification, two were grade II, 41 were grade III and 17 were grade IV stenoses. Of the 60 patients, 57 (95%) are presently decannulated, and one patient sustained a complete restenosis. Two patients with better than 80% subglottic airways still are waiting for decannulation: one because of bilateral cricoarytenoid joint fixation and the second because of temporary stenting of the subglottis with a Montgomery T-tube. The rate of decannulation is 97% (36 of 37 cases) in primary PCTRs, 100% (13 of 13 cases) in salvage PCTRs for failed laryngotracheal reconstructions (LTR) and 70% (7 of 10 cases) in extended PCTRs (i.e., PCTR associated with an additional open-airway procedure).
Adolescent, Anastomosis, Surgical/methods, Child, Child, Preschool, Cricoid Cartilage/surgery, Dyspnea/complications, Female, Humans, Infant, Infant, Newborn, Laryngostenosis/etiology, Laryngostenosis/surgery, Male, Reoperation, Thyroid Gland/surgery, Trachea/surgery, Treatment Outcome
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