Pediatric Laryngotracheal Surgery

Myer, Charles M.; Hartley, Benjamin E. J.

doi:10.1097/00005537-200011000-00021

Cited by 18 publications

(15 citation statements)

References 71 publications

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“…İleri evre LTS'lerde uygulanan açık cerrahi teknikleri kabaca stenozun rezeksiyonu ve uç uca anastomozu ile, stenozun açılması ve kartilaj kullanılarak lümeni geniş-letmeye yönelik LTR işlemleri olarak ikiye ayrılabilir (40). Özellikle kısa segmentli ve daha önce müdahale edilmemiş stenozlar için uygulanabilen rezeksiyon + uç uca anastomoz kanatimizce LTS tamirinde en sona bırakılması gereken bir seçenek olmalıdır.…”

Section: Discussionunclassified

Larengotrakeal Rekonstrüksiyonda Kompozit Nazal Septal Kartilaj Kullanımı / Nasal Septal Cartilage Composite Graft Use in Laryngotracheal Reconstruction

Cansız¹,

Yener²

2016

Anadolu Kliniği Tıp Bilimleri Dergisi

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ÖzetLarengotrakeal rekonstrüksiyon (LTR) baş-boyun cerrahlarının gerçekleştirdiği en zorlu prosedürlerden biri olmaya devam etmektedir. Larengotrakeal stenoz (LTS) vakalarında açık ya da kapalı birçok teknik uygulanmaktayken, larengeal tümörlerde tümörün mikrocerrahiyle çıkarıl-masından subtotal larenjektomiye kadar birçok konservatif seçenek mevcuttur. Ancak bu tip hastaların tedavisinde tek bir yöntem yoktur ve cerrahın uygun hastada uygun metodu uygulaması gerekmektedir. Bu yazıda; cerrahi, travma, tümör ya da larengotrakeal stenoz gibi lezyonlarda /defektlerde kompozit nazal septal kıkırdak kullanımı ile ilgili teknik bilgi, endikasyonlar ve deneyimimiz sunulacaktır. Anahtar Kelimeler: larengeal tümörler; trakeal tümörler; nazal septal kıkırdak grefti; larengotrakeal defekt; lateral rezeksiyon. AbstractLaryngotracheal reconstruction still remains as one of the most challenging procedures in otolaryngology practice. A variety of reconstruction materials and methods are used to repair laryngotracheal defects. No single surgical procedure exists that is appropriate for all situations, and the surgeon has to make a choice among these methods. This article describes the technical data on, the indications of, and our experience with the use of composite nasal septal cartilage graft for the reconstruction of laryngotracheal defects.

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Section: Discussionunclassified

Larengotrakeal Rekonstrüksiyonda Kompozit Nazal Septal Kartilaj Kullanımı / Nasal Septal Cartilage Composite Graft Use in Laryngotracheal Reconstruction

Cansız¹,

Yener²

2016

Anadolu Kliniği Tıp Bilimleri Dergisi

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“…Some authors [4,5,11,14] have advocated cartilage graft interposition in paediatric laryngotracheal reconstruction. Better results were obtained with a graft insertion than with a simple cricoid split [5,14].…”

Section: Discussionmentioning

confidence: 99%

“…Numerous interposition materials have been proposed, including costal cartilage [2][3][4], auricular cartilage [5][6][7][8][9][10], hyoid bone [3], thyroid alar cartilage [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Different types of graft have been described including costal cartilage [2][3][4], hyoid bone [5], auricular cartilage [6][7][8][9][10] and thyroid cartilage [10][11][12]. The theoretical advantage [10,11] of the thyroid alar cartilage (TAC) graft is its location in the same operative field therefore, potentially reducing operative time and reducing the morbidity of a second operative site.…”

Section: Introductionmentioning

confidence: 99%

“…In the literature, the majority of authors [4,12,[18][19][20][21] report the presence of granulation tissue with CCG use, but they do not indicate its frequency or duration. Park [11] reports one case of obstructive granuloma in 15 patients after TAC grafting.…”

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confidence: 99%

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Thyroid alar cartilage graft in paediatric laryngotracheal reconstruction

Fayoux¹,

Vachin²,

Merrot³

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.

Monnier

Lang

Savary

2002

Eur Arch Otorhinolaryngol

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In our study, 60 infants and children, each with a severe subglottic stenosis (SGS), underwent partial cricotracheal resection (PCTR) with primary thyrotracheal anastomosis. According to the Myer-Cotton classification, two were grade II, 41 were grade III and 17 were grade IV stenoses. Of the 60 patients, 57 (95%) are presently decannulated, and one patient sustained a complete restenosis. Two patients with better than 80% subglottic airways still are waiting for decannulation: one because of bilateral cricoarytenoid joint fixation and the second because of temporary stenting of the subglottis with a Montgomery T-tube. The rate of decannulation is 97% (36 of 37 cases) in primary PCTRs, 100% (13 of 13 cases) in salvage PCTRs for failed laryngotracheal reconstructions (LTR) and 70% (7 of 10 cases) in extended PCTRs (i.e., PCTR associated with an additional open-airway procedure).

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Pediatric Laryngotracheal Surgery

Cited by 18 publications

References 71 publications

Larengotrakeal Rekonstrüksiyonda Kompozit Nazal Septal Kartilaj Kullanımı / Nasal Septal Cartilage Composite Graft Use in Laryngotracheal Reconstruction

Larengotrakeal Rekonstrüksiyonda Kompozit Nazal Septal Kartilaj Kullanımı / Nasal Septal Cartilage Composite Graft Use in Laryngotracheal Reconstruction

Thyroid alar cartilage graft in paediatric laryngotracheal reconstruction

Partial cricotracheal resection for pediatric subglottic stenosis: a single institution's experience in 60 cases.

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