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Updated: May 5, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
Published on: December 1, 2010
Management of laryngotracheal stenosis - our experience
Pradipta Kumar Parida1, Ashok Kumar Gupta
1Department of Otorhinolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Objective:
To describe our experience in the management of laryngotracheal stenosis (LTS).
Study Design:
Prospective study.
Materials And Methods:
This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination.
Results:
There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis.
Conclusion:
Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.
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