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Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
07:11

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling

Published on: February 5, 2019

[Subglottic stenosis in the first year of life. Characteristics and treatment options]

C Sittel1

  • 1Klinik für Hals-, Nasen-, Ohrenkrankheiten, Plastische Operationen, Kriegsbergstrasse 60, Stuttgart, Germany. c.sittel@klinikum-stuttgart.de

HNO
|July 6, 2012
PubMed

Insights

Congenital or early-acquired subglottic stenosis in infants presents unique surgical challenges. Laryngotracheal reconstruction using autologous thyroid cartilage is recommended for significant cases, offering a less invasive approach.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Surgery

Context:

  • Subglottic stenosis (SGS) in infants (<12 months) poses significant diagnostic and therapeutic challenges due to small anatomical dimensions.
  • Tracheostomy, often necessary, increases mortality risk and should be minimized.

Purpose:

  • To review and evaluate conservative, endoscopic, and open surgical management options for subglottic stenosis in the first year of life.
  • To highlight the preferred treatment for significant cases in this age group.

Summary:

  • Discusses key types of infantile subglottic stenosis.
  • Evaluates various treatment modalities, including conservative, endoscopic, and open surgical approaches.
  • Recommends laryngotracheal reconstruction with autologous thyroid cartilage as the primary surgical option for significant SGS.

Impact:

  • Autologous thyroid cartilage reconstruction is less invasive and versatile, preserving options for revision surgery.
  • Emphasizes the need for specialized expertise and management at referral centers for these rare, complex cases.

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