Delayed laryngotracheal reconstruction with titanium plate: report of 10 cases
Ahmad Daneshi1, Shabahang Mohammadi, Fatemeh Hassannia
1Department of Otolaryngology and Head and Neck Surgery, Iran University of Medical Science, Hazrate Rasoul hospital, Tehran, Iran.
Background:
Subglottic stenosis is congenital or acquired narrowing of subglottic area. The management of subglottic stenosis is still a serious surgical challenge. Although different surgical techniques are accomplished to manage the condition, no standard treatment has been presented yet.
Study Design:
Titanium mesh was used in the reconstruction of the anterior laryngotracheal wall in 10 tracheostomized patients with laryngotracheal stenosis because of prolonged intubation. The anterior laryngotracheal wall was split, followed by excision of scar tissue. After several weeks, in a second-stage performance, the titanium plate was fixed at the split edges.
Results:
Finally, all the patients were decanulated. However, one patient developed respiratory distress because of granulation tissue and underwent a second trial of decanulation. In one patient, the titanium plate extruded.