Laryngotracheal Reconstruction in Subglottic Stenosis: An Ancient Problem Still Present

Peña, Juan Francisco; Cicéro, R; Marin, José Flávio Gomes; Ramirez, Martha E.; Cruz, Sergio J Vento; Navarro, Francisco

doi:10.1067/mhn.2001.117372

Cited by 41 publications

(27 citation statements)

References 21 publications

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“…This result was similar to Ogura et al [16] (82%), Gerwat et al [17] (100%), Pearson et al [18] (95%), Grillo et al [19] (96%), Maddus et al [15] 94%, Pena et al [14] (95%).…”

Section: Airway Outcomesupporting

confidence: 87%

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Management of laryngotracheal stenosis — our experience

Parida

Gupta

2009

Indian J Otolaryngol Head Neck Surg

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Objective To describe our experience in the management of laryngotracheal stenosis (LTS).Study design Prospective study. Results There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically signifi cant difference between decannulated and nondecannulated group for site and length of stenosis. Materials and methods ConclusionPatients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.

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“…This result was similar to Ogura et al [16] (82%), Gerwat et al [17] (100%), Pearson et al [18] (95%), Grillo et al [19] (96%), Maddus et al [15] 94%, Pena et al [14] (95%).…”

Section: Airway Outcomesupporting

confidence: 87%

“…Friedman and Mayer et al [13] reported 96% (25 of 26 patients) success rate by using sternocleidomastoid myoperiosteal fl ap. Pena et al [14] reported 91% (44 of 48) success rate by LTP.…”

Section: Airway Outcomementioning

confidence: 97%

Management of laryngotracheal stenosis — our experience

Parida

Gupta

2009

Indian J Otolaryngol Head Neck Surg

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“…Surgical injury to the cricoid as in a tracheotomy and cricothyroidotomy is believed to lead to airway stenosis [5]. Surgeons have therefore been reluctant to directly incise the cricoid -even in its repair.…”

Section: Discussionmentioning

confidence: 99%

Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis

Pradhan

Sikka

Thakar

2008

Indian J Otolaryngol Head Neck S

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“…In fact, the most common cause of adult laryngotracheal stenosis is endotracheal intubation. 75,76 The duration of intubation has been found to correlate significantly with the incidence of laryngeal pathologies, including the development of subglottic edema and narrowing when intubation time exceeds 7 d. 16,77 However, Colton House et al 20 demonstrated no significant difference in the development of subglottic edema regardless of duration of intubation or tube size. The presence of comorbidities, such as diabetes mellitus, gastroesophageal reflux, and immunosuppression, have also been shown to predispose patients to develop stenosis.…”

Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

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Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

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Laryngotracheal Reconstruction in Subglottic Stenosis: An Ancient Problem Still Present

Cited by 41 publications

References 21 publications

Management of laryngotracheal stenosis — our experience

Management of laryngotracheal stenosis — our experience

Posterior cricoid split with costal cartilage augmentation for high subglottic stenosis

Complications of Airway ManagementDiscussion

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