[Reconstructive surgery in laryngostenosis in children]

Area of Science:

• Otolaryngology
• Surgical Innovation
• Regenerative Medicine

Context:

• Laryngostenosis presents significant challenges in airway management.
• Current treatments often involve tracheostomy, leading to complications.
• Reconstructive laryngeal surgery aims to restore airway patency and function.

Purpose:

• To evaluate the efficacy of laryngoplasty using costal cartilage autotransplantation and segmental laryngeal resection.
• To introduce and assess a novel endolumenal silicon stent fixation technique.
• To determine the optimal timing for surgical intervention in laryngostenosis.

Summary:

• Thirty-three patients with laryngostenosis underwent laryngoplasty with costal cartilage autotransplantation and segmental resection.
• A 75% decannulation rate was achieved within 4 months for patients receiving one-stage laryngoplasty.
• An endolumenal stent fixation method, isolated from the tracheostome cannula, was proposed as an optimal stenting technique.

Impact:

• Early surgical intervention improves treatment prognosis and reduces complications associated with prolonged tracheostomy.
• The proposed stenting method offers an optimal approach for reconstructive laryngeal surgery.
• Improved socio-psychological adaptation is observed in patients undergoing timely surgical treatment.