Laryngeal stenosis in children: Types, grades and treatment strategies

Redondo-Sedano, J V; Antón‐Pacheco, Juan L.; Valverde, Rocío Morante; Díaz, María López; Paredes, Carmen; Guardia, Leonor Melero; Alelu, Rubén Martín; Huerta, Ignacio Jiménez; Gordo, María Isabel Benavent; Fraile, Andrés Gómez

doi:10.1016/j.jpedsurg.2018.09.027

Cited by 23 publications

(13 citation statements)

References 20 publications

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“…Rövidítések EAAL = endoszkópos arytaenoid abdukciós lateropexia; ETGI = (endolaryngeal thread guide instrument) endolaryngealis fonalvezető eszköz; SLtp = 'slide ' laryngotracheoplastica A laryngotrachealis komplexum csecsemő-és gyermekkori szűkületei számos olyan veleszületett és szerzett kórképet foglalnak magukban, melyek potenciális veszélyeik miatt gyors és precíz diagnosztikát, illetve személy-ESETISMERTETÉS re szabott, lehetőleg egy lépésben történő sebészi megoldást követelnek meg [1,2]. A légút fejlődési rendellenességei ritkák, pontos gyakoriságuk nem ismert, incidenciájuk 2-10/100 000 élveszülés intervallumra tehető [3].…”

Section: Esetismertetésunclassified

Laryngealis szűkületek innovatív sebészi megoldásai újszülött- és csecsemőkorban

Bach

Erdélyi

Sztanó

et al. 2021

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Összefoglaló. A veleszületett légúti szűkületek gyakran kombináltan jelentkeznek, és más szervrendszert is érintő kísérőbetegségekkel, illetve malformációkkal is társulhatnak. Figyelembe véve ezeket a tényezőket, illetve a csecsemőkori légút speciális anatómiáját és sérülékeny szöveteit, a felső légúti szűkületek sebészi kezelése újszülött- és csecsemőkorban igen nagy kihívást jelentő feladat, melynek célja a mihamarabbi definitív, stabil légút biztosítása a hangképzés és a nyelési funkció megőrzésével. A laryngomalacia, a hangszalagbénulás és a subglotticus stenosis együttesen a gége veleszületett rendellenességeinek megközelítőleg 90%-áért felelős. A szerzők erre a három kórképre fókuszálva egy-egy eset kapcsán bemutatják a Szegedi Tudományegyetem Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinikáján működő légútsebészeti munkacsoport által rutinszerűen alkalmazott innovatív sebészi módszereket. A bemutatott sebészeti megoldások egy lépésben, tracheostoma, sztentelés és graft beültetése nélkül azonnali stabil légutat biztosítanak jó hangminőséggel és nyelési funkcióval a supraglottis, a glottis és a subglottis dinamikus és statikus szűkületei esetén egyaránt. Orv Hetil. 2021; 162(52): 2100–2106. Summary. Congenital airway stenoses occur frequently in combinations or may be associated with comorbidities and malformations affecting other organ systems. Considering these factors as well as the special anatomy and vulnerable tissues of the pediatric airway, surgical treatment in neonates and infants is an extremely challenging task. The ultimate goal of the management is to ensure a definitive and adequate airway as soon as possible with the preservation of voice and swallowing. Laryngomalacia, vocal cord palsy and subglottic stenosis together account for approximately 90% of congenital laryngeal disorders. Focusing on these three diseases, the authors – the airway surgery working group at the Department of Otolaryngology and Head and Neck Surgery, University of Szeged, Hungary – present their routinely applied innovative surgical strategies in connection with three cases. The presented ‘one-step’ surgical solutions provide immediate stable airway with good voice quality and swallowing function without tracheostomy, stenting, or graft implantation for both dynamic and static stenoses of the supraglottis, glottis, and subglottis. Orv Hetil. 2021; 162(52): 2100–2106.

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Section: Esetismertetésunclassified

Laryngealis szűkületek innovatív sebészi megoldásai újszülött- és csecsemőkorban

Bach

Erdélyi

Sztanó

et al. 2021

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“…There may be other signs of respiratory distress, such as intercostal retractions and a barking cough . The Myer‐Cotton scale can be used to classify the degree of stenosis Grade 1: Luminal obstruction <50%. Grade 2: 51%‐70% luminal obstruction. Grade 3: 71%‐99% luminal obstruction. Grade 4: Complete obstruction. …”

Section: Common Pediatric Airway Pathologymentioning

confidence: 99%

Anesthesia for shared airway surgery in children

Bradley

Lee

Peyton

2020

Pediatric Anesthesia

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Shared airway surgery in children is a complex, high‐risk undertaking that requires continuous communication and cooperation between the anesthetic and surgical teams. Airway abnormalities commonly seen in children, the surgical options, and the anesthetic techniques that can be used to care for this vulnerable population are discussed. Many of these procedures were traditionally carried out using jet ventilation, or intermittent tracheal intubation, but increasingly spontaneously breathing “tubeless” techniques are being used. This review has been written from both the surgical and anesthetic perspective, highlighting the concerns that both specialties have in relation to the maintenance of surgical access and operating conditions, and the need for the provision of anesthesia, oxygenation, and ventilation where the airway is the primary site of operation.

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“…(6) There are various studies which define and compare the various approaches available for treatment of subglottic stenosis. (7,8,9) There has been many case series in literature describing deep neck space abscesses in children below 5 years of age and their complications. (10) Some of the causes are associated with some syndromes.…”

Section: B a C K G R O U N Dmentioning

confidence: 99%

Management of Stridor in Paediatric Population- Our Experience

Thakur¹,

Singh²,

Roy³

et al. 2019

jemds

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BACKGROUNDStridor is a common presentation in paediatric ENT OPDs. (1) There can be numerous causes of stridor in this age group-congenital and acquired. (2) There are various methods available for diagnosis of such cases-radiological, rigid laryngotracheobronchoscopy and fibreoptic laryngoscopy. (3) The approach to such a case and its subsequent management varies from case to case. (4) Treatment strategy for each possible cause varies. There are very few case series in Indian population reporting such cases. In our tertiary care centre, we come across many cases with stridor. Their subsequent evaluation leads us to diagnosis. At times, upper airway evaluation is normal. The management then depends on specific aetiology. We are describing our case series comprising 15 patients with various diagnosis and subsequent management. METHODSThis is a case series comprising 15 patients. This is a prospective study carried out at our tertiary care centre. The variety of cases included laryngomalacia, retropharyngeal abscess and subglottic stenosis which were managed as per existing guidelines. RESULTSThe outcomes of our series were quite promising with 93.33 % children successfully decannulated. CONCLUSIONSThe management of a child with stridor is a challenge for the treating team. We should keep in mind that every paediatric case of stridor does not imply an underlying pathology. A systematic approach and keeping all the possible differential diagnoses in mind are the most important steps in achieving optimum results.

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Laryngeal stenosis in children: Types, grades and treatment strategies

Cited by 23 publications

References 20 publications

Laryngealis szűkületek innovatív sebészi megoldásai újszülött- és csecsemőkorban

Laryngealis szűkületek innovatív sebészi megoldásai újszülött- és csecsemőkorban

Anesthesia for shared airway surgery in children

Management of Stridor in Paediatric Population- Our Experience

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