A modified technique of laryngotracheal reconstruction without the need for prolonged postoperative stenting

Abstract

We conclude that this modified technique of laryngotracheal reconstruction represents a valid treatment option for patients with complex glottosubglottic stenosis, avoiding the need for prolonged postoperative stenting.

Laryngeal Mask as the Primary Airway Device During Laryngotracheal Surgery: Data From 108 Patients

“…For glottosubglottic stenosis with a side-to-side narrowing, a laryngotracheal reconstruction technique with rib cartilage grafting was applied. 8 Bronchoscopy was routinely performed at the end of surgery and based on clinical need during the hospital stay.…”

Functional evaluation before and after laryngo-tracheal resection

“…Although satisfactory outcomes, the technique carries the disadvantage of postoperative stenting. A modification of Couraud’s technique was developed by the Vienna Laryngotracheal Team ( 8 ). Despite the complexity of such a reconstruction the functional outcome was excellent in all of the five initially reported cases.…”

“…In experienced hands, laryngotracheal surgery can be performed with only a minimal impact on glottic functions. We and others have shown that the best results can be obtained in patients primarily referred to surgery (8,9). Pre-treated patients usually require more extended surgical techniques and functional outcomes are worse than in previously untreated patients (6,7).…”

Subglottic Resections: How I Teach It

“…For management of glottic and subglottic problems, laryngotracheal reconstructions using rib cartilage grafts were developed by Cotton [3] and Monnier [4] (pediatric patients) and by Couraud [5] (adults). Whereas these complex reconstructions required an internal stenting (Montgomery T tube, LT-Mold), recent adaptations of the technique facilitate a single-stage repair [6].…”