Results of Montgomery T-Tube in Primary Treatment of Laryngotracheal Stenosis

Aslan, Hale; Öztürkcan, Sedat; Eren, Erdem; Başoğlu, Mehmet Sinan; Songu, Murat; Kulduk, Erkan; Kılavuz, Ahmet Erdem; Katılmış, Hüseyin

doi:10.4236/ijohns.2013.25033

Cited by 4 publications

(2 citation statements)

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“…This is necessary in patients with multiple surgery for whom scar tissue formation is extensive and the moment of tracheostomy removal must be delayed (10). This can be used as a temporary or definitive method of therapy or in the case of extreme morbidities with the impossibility of doing surgery under general anesthesia (11)(12)(13). The versatility of this method makes it one of the preferred means of surgical therapy (14)(15)(16).…”

Section: Discussionmentioning

confidence: 99%

Larynx stenosis; a challenge for the ENT surgeons

Berteșteanu¹,

Pascu²,

Popescu³

et al. 2018

J Clin Invest Surg.

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Laryngo-tracheal stenosis is a complex pathology which requires multiple surgical interventions and diligence from the surgeon and patience from the patient so that normal physiology may be restored. The aim of this paper is to evaluate the factors that can influence the evolution of this pathology. It is presented a retrospective study in which 20 cases of larynx stenosis from 2008 until 2018 were evaluated. The study revealed a predominance of the pathology in men, especially from rural environment. The etiology of larynx stenosis was both iatrogenic and traumatic. Multiple surgical interventions classical and endoscopic were necessary, along with tracheostomy. In 7 cases there was the need for larynx stent to be mounted. There was no significant correlation between age, etiology and the site of stenosis and the removal of the tracheostomy. Larynx stenosis benefit in present by modern surgical techniques. Current therapeutic options include conservative therapy, endoscopic approach and external approach depending on the site, severity, morbidities of the stenosis. Even if technology is of great help in LS management of many patients, unfortunately there are still cases where therapy is very complex and with poor functional results.

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Section: Discussionmentioning

confidence: 99%

Larynx stenosis; a challenge for the ENT surgeons

Berteșteanu¹,

Pascu²,

Popescu³

et al. 2018

J Clin Invest Surg.

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“…It can be used primarily as a definitive treatment or in the management of inoperable conditions or as an adjunct after resection anastomosis till adequate healing is achieved [10][11][12][13]. It is also used as a definitive treatment, in selective cases with grade early stenosis, and soft stenosis not requiring open resection anastomosis.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Management of Laryngeal Stenosis

Nair

Nilakantan

Sood

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Laryngeal stenosis is one of the most complex and challenging problems in the field of head and neck surgery. The management involves a multidisciplinary approach with multiple complex procedures. In this study we discuss our experience of laryngeal stenosis with regards to patient characteristics, cause and management. A retrospective analysis of 35 patients of laryngeal stenosis treated at a tertiary care centre was evaluated. Inclusion criteria were all patients with laryngeal stenosis who required surgical intervention. Exclusion criteria were patients with associated tracheal stenosis and laryngeal stenosis due to cancer. Demographic data was recorded and findings relating to aetiology, characteristics of stenosis and the various aspects of therapeutic procedures performed are discussed with review of literature. Among 35 patients, 24 were males and 11 females of the age group 2-79 years. 2 (5.7 %) patients had supraglottic stenosis, 11 (31.4 %) had glottis stenosis, 16 (45.7 %) had subglottic stenosis and 6 (17.1 %) had combined multiple sites stenosis. Each patient underwent an average of 3.22 surgical procedures like microlaryngoscopy and excision with cold instrument, CO2 laser excision or open procedures like laryngofissure and excision and laryngoplasty. Montgomery t tube insertion was a common procedure in 17 patients (48.6 %). Of the total 35 patients with severe LS, 27 (77.1 %) patients were successfully decanulated. The results of glottic (100 %) and supraglottic stenosis (100 %) are excellent as compared to subglottic (68.8 %) and combined stenosis (50 %) of multiple sites. Laryngeal stenosis with airway compromise causes significant morbidity to the patients and is a difficult condition to treat in both adult and pediatric population. The need for multiple surgical procedures is common in the treatment of laryngeal stenosis with the t-tube being an important aid in the management of this condition. Trauma especially post intubation trauma is the commonest cause of laryngeal stenosis and the involvement of subglottis has poor outcome as compared to other subsites.

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