Document Detail


Ten-year review of laryngotracheal reconstruction for paediatric airway stenosis.
MedLine Citation:
PMID:  17316830     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To review the outcomes of paediatric patients with laryngotracheal stenosis treated at our institution by laryngotracheal reconstruction (LTR). METHODS: A single surgeon personal series retrospective review of case notes over a 10-year period from a single site tertiary referral paediatric otolaryngology department in patients with laryngotracheal stenosis treated with laryngotracheal reconstruction. Evaluation was based on the last laryngotracheal endoscopy, and a retrospective review of the patient's data. RESULTS: Seventy-three open laryngotracheal procedures were undertaken for paediatric laryngotracheal stenosis from the period 1995-2005. Fourteen were cricoid split operations and will be described elsewhere. The remaining 59 procedures were cartilage graft laryngtracheal reconstructions, performed on 53 patients (37 single stage and 16 staged) with 6 having required revisions. CONCLUSIONS: LTR provides good results for subglottic stenosis (SGS) as primary or salvage operations. The procedure has no deleterious effects on laryngeal growth. The causes of failed procedures are discussed.
Authors:
Namit Agrawal; Myles Black; Gavin Morrison
Publication Detail:
Type:  Journal Article     Date:  2007-02-21
Journal Detail:
Title:  International journal of pediatric otorhinolaryngology     Volume:  71     ISSN:  0165-5876     ISO Abbreviation:  Int. J. Pediatr. Otorhinolaryngol.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-23     Completed Date:  2007-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003603     Medline TA:  Int J Pediatr Otorhinolaryngol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  699-703     Citation Subset:  IM    
Affiliation:
Department of Paediatric Otolaryngology, Evelina Childrens Hospital Guys and St Thomas NHS Trust, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / diagnosis,  etiology*,  surgery*
Female
Humans
Infant
Laryngostenosis / diagnosis,  epidemiology*,  surgery*
Male
Otorhinolaryngologic Surgical Procedures / methods*
Reconstructive Surgical Procedures / methods*
Severity of Illness Index
Tracheal Stenosis / diagnosis,  epidemiology*,  surgery*

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