Acquired laryngotracheal stenosis in chidlren

Louhimo, I; Grahne, Bertel; Pasila, M; Suutarinen, T.

doi:10.1016/0022-3468(71)90853-0

Cited by 23 publications

(12 citation statements)

References 15 publications

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“…The incidence of all tra cheal steno ses due to Intubatio n trauma was 0. 9 %in earlier reports from our pediatric surgical unit , but low retrosternal stenoses were seen in only 0.1 % (14). Since then the incidence of low retroster nal tracheal stenosis ha s increa sed fourfold , being 0.4 % at th e pr es- The respiratory symptoms and signs were manifold in our series, and the diagnostic acumen was not very impressive.…”

Section: The Microseopie Examination Revealed Epithelial Ulcerationcontrasting

confidence: 38%

“…Lesions of the subglotti c and upper trachea in children can successfully be cured using different meth ods such as laser, cryo therapy , endobronchial or total resectio n, dilatation and cricot omy with a stent, or by plastic operatio ns (4,6,10,14,19,22,23). In the se cases an open airway is easily maintained by tracheostomy below th e lesion , if needed during the treatment or in the case of acute obstruction.…”

Section: Resecti On Of Low Ret Rosternal Trachea Under Cardiopu Lmonamentioning

confidence: 99%

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The Treatment of Low Retrosternal Tracheal Stenosis in the Neonate and Small Children

Louhimo¹,

Leijala²

1985

Thorac cardiovasc Surg

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In the years 1979 to 1983, 8 infants or small children under 2 years of age were treated for severe low retrosternal (carinal) tracheal stenosis. The etiology was iatrogenic (postintubation) in 7 cases and congenital in one. Low tracheal stenosis was seen in 0.4% of all intubated (1607 patients) neonates during the same time period. In 6 cases of acute obstruction, diagnostic bronchoscopy was used to relieve the stenosis by forcefully dilating the trachea. One patient died and all had severe complications, but 3 children are living and doing well without further treatment. Only short granular retrosternal stenoses appeared to be suitable for violent dilatation, which is indicated if the patient is otherwise facing death due to suffocation. All other operative facilities must be at hand. Resection of low retrosternal trachea under cardiopulmonary bypass was performed in 4 patients - 2 of them had had earlier unsuccessful dilatations. One patient, aged 1.5 months, died. In this case the obstruction extended into both bronchi. Another patient was re-resected with success. The follow-up time of the 3 living patients with resection is already 2.4, 4.5 and 4.7 years respectively. The patients are living a normal life and the anastomoses are growing normally.

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Section: The Microseopie Examination Revealed Epithelial Ulcerationcontrasting

confidence: 38%

Section: Resecti On Of Low Ret Rosternal Trachea Under Cardiopu Lmonamentioning

confidence: 99%

The Treatment of Low Retrosternal Tracheal Stenosis in the Neonate and Small Children

Louhimo¹,

Leijala²

1985

Thorac cardiovasc Surg

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“…The second fatal tracheal problem was due to an extensive stricture; this is a weil known complication of prolonged tracheal intubation. Avoidance of too large tracheal tubes and the careful control of their position can make this complication less likely (14).…”

Section: Acknowledgementmentioning

confidence: 99%

Long-Term Prognosis of Successfully Operated Oesophageal Atresia - With Aspects on Physical and Psychological Development

Lindahl¹

1984

Eur J Pediatr Surg

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From 1966 to 1973, 43 oesophageal atresia patients with no other significant anomalies underwent successful anastomosis. The late mortalities of the 5 patients were due to the complications of gastro-oesophageal reflux and tracheal problems. These deaths and all the serious complications occurred before the age of 3 years. The survivors were followed up for a mean of 12.7 years and 34 of the 38 long-term survivors were re-examined by the author. The subjective results of the remaining 4 patients were obtained by means of a questionnaire. The results, according to Desjardins et al, were: "excellent" 31, "good" 6 and, "fair" 1. The growth of the patients was normal and the majority of them also possessed normal intelligence and body image. Oesophagograms revealed pathological peristalsis in every patient but only 1 of them demonstrated a somewhat narrowed anastomosis. Very few patients, however, complained of symptoms arising from the abnormal motility of the oesophagus. The long-term prognosis and the quality of life of oesophageal atresia patients seems good after the frequent problems which might occur in the early years have been overcome.

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“…The success of endoscopic techniques for acute stenosis is defined by the long-term resolution of stenosis and the avoidance of open surgery such as laryngotracheal reconstruction. Rigid dilations have been used for a long time, with highly variable and essentially disappointing results (51,52). Rigid dilation studies found in this review do not report clear inclusion criteria especially concerning mature or in evolution stenosis status.…”

Section: Discussionmentioning

confidence: 87%

Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy

Schweiger¹,

Manica²

2020

Front. Pediatr.

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Acquired laryngotracheal stenosis in chidlren

Cited by 23 publications

References 15 publications

The Treatment of Low Retrosternal Tracheal Stenosis in the Neonate and Small Children

The Treatment of Low Retrosternal Tracheal Stenosis in the Neonate and Small Children

Long-Term Prognosis of Successfully Operated Oesophageal Atresia - With Aspects on Physical and Psychological Development

Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy

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