Acquired laryngeal stenosis in infants and children treated by laryngofissure and stenting

Abstract

Thirty young patients with acquired laryngeal stenosis were treated by means of a laryngofissure and stenting. The age distribution suggested two subgroups: infants aged O-2 years (n = 24), and children aged 6-16 years (n = 6). The causes of the stenosis and the treatment results were different in these subgroups. Treatment resulted in successful decannulation in 22 of 24 infants, and in 5 of 6 children. Treatment included a re-operation in two patients. In 1 patient the therapy failed, and 2 patients died after fatal complications. Decannulation rate, duration of the tracheotomy, and the number of re-operations compare favorably to the results of other centers. The longer duration of stenting, and the high mortality rate may be considered disadvantages.

Endoscopie posterior cricoid split and rib grafting in 10 children

“…In BVCP 3 and PGS, 4 only the posterior cricoid ring requires augmentation. Traditionally, these procedures have been performed through an open transcervical approach with the attendant drawbacks of external scarring, risks of laryngofissure, and the need for postoperative period of intubation or stenting, often involving an extended intensive care unit (ICU) stay 5 …”

Malformation and Stenosis of the Cricoid Cartilage in Association With Larsen's Syndrome

“…Wider experience with this surgical technique has been gained in another condition: acquired subglottic stenosis 8 . The latter results compare with those of laryngotracheoplasty 9,10 …”