Ten-year review of laryngotracheal reconstruction for paediatric airway stenosis

Laryngotracheal reconstruction and cricotracheal resection in children: Recent experience at Great Ormond Street Hospital

“…As shown in other studies [23,26,27] children undergoing twostage LTR had significantly worse disease to start with. However there was no statistically significant difference in final outcomes between single-stage (87.7%) and two-stage LTR (86.9%) in this study.…”

“…craniofacial anomalies) [22]. Some authors perform two-stage LTR in cases with severe stenosis [20,23] although many others advocate partial cricotracheal resection in selected cases with grade III/IV subglottic stenosis where the disease is separated from the glottis by an adequate margin [1,24].…”

“…Saunders et al [26] reported an overall decannulation rate of 91.4% after single-stage LTR and 61.8% after two-stage LTR. Hartnick et al [27] and Agrawal et al [23] also reported higher operation-specific decannulation rates with single-stage LTR than two-stage LTR. This has been explained on the grounds that children undergoing two-stage LTR have a more severe disease and have more medical co-morbidities.…”

Management of oral feeding in children undergoing airway reconstruction

“…Long-term surgical success rates, defined by overall decannulation rates, are now approaching 90%. [2][3][4][5] Recently, several studies have begun to characterize voice outcome following laryngotracheal reconstruction (LTR). [6][7][8][9] Many children who undergo LTR present with dysphagia preoperatively and some may develop it postoperatively.…”

Complete traumatic laryngotracheal disruption—A case report and review

“…The advantage of single-stage reconstruction is a reduction in laryngotracheal stenting and tracheostomy tube dependence [18]. More importantly, it has also been shown that laryngotracheal reconstructions performed in pediatric patients did not adversely effect laryngeal growth when used to correct congenital or acquired subglottic stenosis [19].…”