2009
DOI: 10.1016/j.jtcvs.2008.08.035
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Abstract: Laryngeal split with anterior and posterior cartilage graft interposition as an isolated procedure or associated with a cricotracheal resection is a feasible and low-morbidity alternative for complex laryngotracheal stenosis treatment.

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Cited by 127 publications
(50 citation statements)
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“…This finding did not persist in multivariable analysis, although this may be due to the limited sample size of our study. Several prior studies that have demonstrated more invasive procedures are associated with higher rates of decannulation . For this reason, the majority of airway surgeons reserve more invasive procedures (open resections) for patients who fail to respond to conservative measures …”
Section: Discussionmentioning
confidence: 99%
“…This finding did not persist in multivariable analysis, although this may be due to the limited sample size of our study. Several prior studies that have demonstrated more invasive procedures are associated with higher rates of decannulation . For this reason, the majority of airway surgeons reserve more invasive procedures (open resections) for patients who fail to respond to conservative measures …”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, in the pediatric population of patients with laryngotracheal stenosis, free cartilage grafts are the mainstay of treatment and have high success rates . The viability of free cartilage grafts in the adult population has not been extensively studied, however, it is thought to be lower than the pediatric population and is associated with higher rates of wound infection and restenosis . The decreased success with nonvascularized airway reconstruction in adults may be attributable to fundamental differences in the wound healing potential of children verses adults and the fact that the majority of adults have either vasculopathic comorbidities (such as diabetes or peripheral vascular disease) or multiple prior airway procedures resulting in a devascularized and fibrotic wound bed.…”
Section: Discussionmentioning
confidence: 99%
“…Tracheal resection and anastomosis is now accepted as the procedure of choice for tracheal stenosis, with excellent results [511]. Various different, complex, and technically challenging surgical techniques have been described when subglottis is involved with proximal trachea from very experienced groups obtaining excellent results [1214]. …”
Section: Discussionmentioning
confidence: 99%