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[Cicatrical stenoses of the larynx (author's transl)]
Abstract:
16 cases of laryngeal (14 laryngo-tracheal) stenosis. 8 patients suffered from relatively uncomplicated subglottic cicatrices. These were treated after ventral cricotomy by excision, epithelial covering and tamponades or stents. In 7 cases with severe stenoses we performed a complete cricotomy and thyrotomy. The larynx was widened by implantation of a composite graft taken from the ear between the split posterior wall of the circoid (Rethi's maneouver). The following open treatment with tamponades or stents succeeded in 6 cases. Surgical correction of laryngeal stenoses should create a wide lumen with solid epithelial lining. Uncomplicated cases took 10 weeks, complicated cases 11 months in average until the laryngo-tracheostoma could be closed.