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Single-stage laryngotracheoplasty in children
Ireneusz Bielecki1, Mariusz Cofała
1Department of Pediatric Surgery, Division of Otolaryngology, Medical University of Silesia, Upper Silesian Center for Child Health, Medyków 16 Street, Katowice, Poland. ibielecki@sum.edu.pl
Objective:
To review the outcomes of pediatric patients with laryngotracheal stenosis treated by single-stage laryngotracheoplasty.
Methods:
A single surgeon personal series retrospective review of 15 children undergoing single-stage laryngotracheoplasty for laryngeal stenosis over 4-year period (2004-2008).
Results:
15 patients (9 boys and 6 girls), with ages ranging from 1 month to 18 years, were operated. Using the Myer-Cotton grading system, 2 patients were diagnosed with grade 4 stenosis, 6 patients with grade 3 and 7 patients with grade 2. In10 cases, an LTP with anterior costal cartilage graft was performed; in one case an anterior and posterior LTP; in one case a partial cricotracheal resection and in 3 cases an anterior cricoids split. The overall success rate was 94%.
Conclusion:
Single stage laryngotracheoplasty is a safe and effective method for laryngotracheal stenosis in children.
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