Postintubatiós stenosis minimálinvazív műtéti megoldása 4 éves gyermeken ultrapulzációs lézer és szteroid-mitomicin alkalmazásával

Abstract

Postintubation stenosis is a frequent complication of long-term endotracheal anesthesia. In the last few decades, its incidence showed an increasing tendency particularly among children and premature infants. It mostly affects the subglottic area and avoidance of a tracheotomy could lead to better life quality of the patient. We present the treatment of a glotto-subglottic stenosis in a 4-year-old girl. Ultra Dream Pulse Laser surgery was performed with mometason (Elocom) and mitomycin (Mitomycin-C) submucosal injections to prevent refibrosis. Minimally invasive operations play a key role in the treatment of laryngotracheal stenosis. Ultra Dream Pulse Laser surgeries could be safely applied in pediatric patients. Patient follow-up revealed wide glottis without any fibrosis. Ultra Dream Pulse Laser intervention completed with steroid-mitomycin infiltration is an efficient method of treating postintubation stenosis. Orv Hetil. 2019; 160(20): 792–796.