Idiopathic laryngotracheal stenosis: Effective definitive treatment with laryngotracheal resection

Ashiku, Simon; Kuzucu, Akın; Grillo, Hermes C.; Wright, Cameron D.; Wain, John C.; Lo, Bruce M.; Mathisen, Douglas J.

doi:10.1016/j.jtcvs.2002.11.001

Cited by 153 publications

(155 citation statements)

References 16 publications

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“…Major series of laryngotracheal resections published in literature [3][4][5][6][7][8][9][10][11] report good results rates ranging between 87% and 100%, and almost no mortality (generally under 1%), thus affirming the role of surgery as the treatment of choice.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of laryngotracheal resection for benign stenosis☆

D’Andrilli¹,

Ciccone²,

Venuta

et al. 2008

European Journal of Cardio-Thoracic Surgery

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Objective: We report the long-term results of our 16-year experience with laryngotracheal resection for benign stenosis. Methods: Between 1991 and 2006, 35 consecutive patients (19 males, 16 females) underwent laryngotracheal resection for subglottic postintubation (32) or idiopathic (3) stenosis. Mean age was 43 years (range 14-71). At the time of surgery 13 patients presented with tracheostomy and 7 with a Dumon stent. The upper limit of the stenosis was from 0.6 to 1.5 cm below the vocal cords. The length of airway resection ranged between 1.5 and 6 cm. Suprahyoid release was performed in two patients and pericardial release in one. Nine patients had psychiatric and/or neurological post-coma disorders. Mean follow-up is over 5 years (61 months; range 3-194). Results: There was no perioperative mortality. Thirty patients (85.7%) had excellent or good anatomic and functional results. Four patients (11.4%) presented restenosis at a distance of 25-110 days from the operation. Restenosis was successfully treated by endoscopic procedures in all four patients. One patient (2.9%) presented anastomotic dehiscence that required temporary tracheostomy closed after 1 year with no sequelae. Three patients (8.4%) had wound infection. Long-term follow-up was uneventful also in patients who had early complications. Conclusions: Long-term follow-up confirms that laryngotracheal resection is the definitive curative treatment for benign subglottic stenosis. Surgical complications can be successfully managed by non-operative procedures. Despite the occurrence of early complications, excellent and stable results can still be obtained at long term. #

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Section: Discussionmentioning

confidence: 99%

Long-term results of laryngotracheal resection for benign stenosis☆

D’Andrilli¹,

Ciccone²,

Venuta

et al. 2008

European Journal of Cardio-Thoracic Surgery

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“…Marcillo et al [3] reported a 97% success rate with surgical correction in a study consisting of 64 cases with diagnoses of ISS. Endoscopic treatments are reported as good for palliation and as progressing with frequent recurrences in the long run [7]. There are also authors, most of which report achieving sufficient results with endoscopic treatment [8].…”

Section: Discussionmentioning

confidence: 99%

A Case of Idiopathic Subglottic and Bilateral Bronchial Stenosis

Aydoğmuş

Yuncu

Türk

2016

Turk Toraks Dergisi

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Subglottic stenosis is rarely idiopathic. In this case report, a 40-year-old female patient presented with subglottic stenosis with an unidentified etiology along with bilateral bronchial stenosis. Hoarseness arose in the last 4 years in this patient, who was undergoing treatment because of asthma for 13 years. Her physical examination revealed the presence of bilateral rhonci. Her tomography analysis revealed tracheal stenosis in a 2-cm segment at the C6-7 level. Her bronchoscopy analysis revealed subglottic stenosis. White plaques were observed in the entire tracheobronchial tree; biopsy was performed and lavage was taken. Samples were sent for pathological and microbiological examinations. Stenosis in the bronchial system was clear in the left main bronchus entry and at the right intermediate bronchus level. Dilatation was performed. Chronic active inflammation and squamous hyperplasia were observed in the pathology of the biopsies. Growth did not occur in tuberculosis and nonspecific cultures. Reflux was not present in the gastrointestinal system examination. All serological and rheumatologic examinations performed were normal. Idiopathic subglottic stenosis is exceedingly rare. Bronchial system stenosis accompanying idiopathic tracheal stenosis is even rarer, and its treatment is difficult.

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“…The major series of laryngo-tracheal resection published in the international literature report a high rate of good or excellent results, with low mortality (generally under 1-2%), supporting the role of surgery as the treatment of choice [10,[12][13][14][15][16][17].…”

Section: Subglottic Resectionsmentioning

confidence: 99%

Tracheal surgery

D’Andrilli

Rendina

Venuta

2016

Monaldi Arch Chest Dis

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Surgical resection and reconstruction of the trachea can be performed both for benign and malignant diseases. The main indications for surgery include inflammatory (generally post-intubation), congenital or post-traumatic stenoses, degenerative lesions, benign or malignant neoplasms. Success can be pursued only by accurate patient selection and timing, meticulous surgical techniques, careful follow up and, when required, multidisciplinary cooperation. Although surgical resection has now become part of our surgical practice, other treatment modalities are approaching a new clinical application era, in particular tracheal transplantation and bioengineering. These new techniques will certainly offer, in the near future, improved chances to treat difficult cases.

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Idiopathic laryngotracheal stenosis: Effective definitive treatment with laryngotracheal resection

Cited by 153 publications

References 16 publications

Long-term results of laryngotracheal resection for benign stenosis☆

Long-term results of laryngotracheal resection for benign stenosis☆

A Case of Idiopathic Subglottic and Bilateral Bronchial Stenosis

Tracheal surgery

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