Jove
Visualize
Contact Us

Related Experiment Videos

Posterior glottic stenosis.

G H Zalzal1

  • 1Department of Otolaryngology, Children's National Medical Center, Washington, DC 20010, USA. gzalzal@cnmc.org

International Journal of Pediatric Otorhinolaryngology
|November 30, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pediatric gastroesophageal reflux and laryngopharyngeal reflux.

Otolaryngologic clinics of North America·2000
Same author

Changing trends in neonatal subglottic stenosis.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2000
Same author

Airway abnormalities in patients with Arnold-Chiari malformation.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·1999
Same author

In vitro regulation of expression of cartilage-derived morphogenetic proteins by growth hormone and insulinlike growth factor 1 in the bovine cricoid chondrocyte.

Archives of otolaryngology--head & neck surgery·1999
Same author

Pitfalls in laryngotracheal reconstruction.

Archives of otolaryngology--head & neck surgery·1999
Same author

Clinical applications of transiently evoked otoacoustic emissions in the pediatric population.

The Annals of otology, rhinology, and laryngology·1999
Same journal

Regional barriers and innovative solutions in the medical rehabilitation of children with cochlear implants in Uzbekistan: A telemonitored home-based versus center-based comparative study.

International journal of pediatric otorhinolaryngology·2026
Same journal

Long-term quality of life outcomes after tympanostomy tube by surgical indication.

International journal of pediatric otorhinolaryngology·2026
Same journal

Prevalence of high risk for obstructive sleep apnea and its impact on quality of life in children with overweight and obesity.

International journal of pediatric otorhinolaryngology·2026
Same journal

National trends in pediatric concurrent inferior turbinate reduction with tonsillectomy and adenoidectomy.

International journal of pediatric otorhinolaryngology·2026
Same journal

Language outcomes following pediatric cochlear implantation: Associations with clinical, socioeconomic, and rehabilitation factors.

International journal of pediatric otorhinolaryngology·2026
Same journal

Cesarean section and maternal atopy increase the risk of allergic rhinitis in offspring: a case-control study.

International journal of pediatric otorhinolaryngology·2026
See all related articles
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Posterior glottic stenosis in children can be effectively treated by widening the laryngeal framework. This approach improves airway, reduces aspiration, and restores vocal cord mobility for a functional voice.

Area of Science:

  • Pediatric Otolaryngology
  • Laryngeal Surgery
  • Pediatric Airway Disorders

Background:

  • Posterior glottic stenosis is a significant cause of airway obstruction in children.
  • Previous surgical interventions involving tissue excision have shown limited success, often resulting in chronic aspiration and poor voice quality.
  • Differentiating stenosis from vocal cord paralysis is crucial for appropriate management.

Purpose of the Study:

  • To evaluate the efficacy of laryngeal framework widening for treating posterior glottic stenosis in children.
  • To assess the impact of this technique on airway patency, aspiration, and vocal function.
  • To present a surgical strategy that minimizes laryngeal surface area denudation.

Main Methods:

  • Surgical widening of the laryngeal framework using anterior and posterior cricoid split.

Related Experiment Videos

  • Use of stenting to maintain airway lumen expansion.
  • Incorporation of posterior cartilage grafting to minimize scar tissue formation and reduce stenting duration.

    • Main Results:

    • Expansion of the posterior glottis leads to excellent functional outcomes.
    • Successful tracheotomy decannulation achieved in pediatric patients.
    • Restoration of vocal cord mobility and improvement in voice quality reported.
    • Reduced aspiration and improved airway lumen achieved through framework widening.

    Conclusions:

    • Widening the laryngeal framework is a highly effective treatment for posterior glottic stenosis in children.
    • This surgical approach offers a viable alternative to tissue excision, yielding superior voice and airway results.
    • The technique facilitates decannulation, improves swallowing function, and restores vocal cord mobility.