Partial cricotracheal resection for pediatric subglottic stenosis: Long-term outcome in 57 patients

Jaquet, Yves; Lang, Florian; Pilloud, Raphaëlle; Savary, M; Monnier, Philippe

doi:10.1016/j.jtcvs.2005.04.020

Cited by 75 publications

(51 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In regard to the potential effect of laryngotracheal reconstruction procedures on swallowing function, there are reports that document transient dysphagia, direct aspiration, and the subsequent need for swallowing therapy and dietary modifications in the post-operative period [5,11,17,18]. However, the specific nature of the post-operative swallowing problems and the efficacy of compensatory strategies used in the post-operative period are not well described.…”

Section: Airway Protection During Swallowingmentioning

confidence: 99%

Duration and extent of dysphagia following pediatric airway reconstruction

Miller

Linck

Willging

2009

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Section: Airway Protection During Swallowingmentioning

confidence: 99%

Duration and extent of dysphagia following pediatric airway reconstruction

Miller

Linck

Willging

2009

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…This technique slowly superseded previous laryngoplasty techniques without cartilage grafting such as the Rethi procedure (33). Usually the cartilage is harvested from the costal arch (34), however, others have described the use of the thyroid ala or nasal septal cartilage (35,36). A complete anterior laryngofissure exposes the posterior surface of the cricoid plate.…”

Section: Ltrmentioning

confidence: 99%

Pediatric Airway Surgery

Monnier¹

2011

View full text Add to dashboard Cite

The pediatric airway-general implicationsThe pediatric airway has several distinct features compared to the adult airway. First, dimensions are much smaller. This is particularly important with regards to the subglottis. The inner-diameter of the subglottis of a newborn usually measures between 3 and 4 mm (1). A pathological process in this area, leading to a circular lumen reduction of only one millimeter, can result in a life-threatening near-occlusion.A second feature of the pediatric airway is that the cartilaginous parts are still malleable and cannot provide the same stability as an adult airway skeleton. This can become a problem after airway reconstructions and usually results in the need of prolonged postoperative stentings to support a laryngotracheal repair. The lack of stability of the trachea in a newborn (compared to an adult) also makes it more prone to develop tracheomalacia. Vessel malformations (vascular rings) can apply pressure to the airway, causing dynamic collapse and making surgical correction often inevitable (2).On the other hand, the flexibility of the pediatric trachea facilitates long-segmental resections. In children, up to 50 percent of the airway length can be resected without extensive tension on the anastomosis (3).With regards to the functional aspects of the pediatric larynx, the anatomical relationship between the glottis and the hyoid is also a unique feature. The thyrohyoid membrane is shorter than in adults and the thyroid notch usually projects behind the hyoid. This high location of the larynx raises the tip of the epiglottis behind the uvula, thus, permitting simultaneous breathing and swallowing (4). Consequently, swallowing problems are rare in children and the pediatric larynx can handle even profound changes in its configuration. In fact, extensive laryngotracheal resections and reconstructions are possible without risking severe postoperative swallowing problems. Diseases of the pediatric airway Laryngotracheal stenosisAirway injury secondary to traumatic intubation remains the most common cause of laryngotracheal stenosis, accounting for about 90% of all pediatric acquired airway stenosis (5). The majority of intubation-related injuries are due to the comorbidities. This comprehensive review should give an overview on most common airway problems in neonates and children as well as available surgical techniques.

show abstract

“…In 2005 Monnier's team published a simple Lausanne 'Quality of Life' Questionnaire assessing the functional outcomes of the surgery in terms of breathing, voice, swallowing, and overall satisfaction (44).…”

Section: A Subjective 'Quality Of Life' Questionnaire For the Evaluatmentioning

confidence: 99%

“…The following items were rated by the patients or their parents by using the scales as Monnier applied this tool in patients after pediatric laryngeal reconstruction (44,45 …”

Section: A Subjective 'Quality Of Life' Questionnaire For the Evaluatmentioning

confidence: 99%

“…The Asthma Quality of Life Questionnaire (AQLQ) is widely used in pulmonology to measure the efficacy of asthma treatment (76 Only some out of these dimensions are supposed to be impaired in upper airway stenosis. Monnier chose breathing, eating, speech and averall satisfaction is his scales (44).…”

Section: A Subjective Quality Of Life Questionnaire For the Evaluatiomentioning

confidence: 99%

See 1 more Smart Citation

Morphometric studies and a complex airway evaluation panel for objective and reliable assesment of laryngo-tracheal stenosis surgery

Sztanó¹

View full text Add to dashboard Cite

Partial cricotracheal resection for pediatric subglottic stenosis: Long-term outcome in 57 patients

Cited by 75 publications

References 30 publications

Duration and extent of dysphagia following pediatric airway reconstruction

Duration and extent of dysphagia following pediatric airway reconstruction

Pediatric Airway Surgery

Morphometric studies and a complex airway evaluation panel for objective and reliable assesment of laryngo-tracheal stenosis surgery

Contact Info

Product

Resources

About