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Stenosing processes due to endotracheal intubation and tracheostomy in children
Insights
This study treated 15 children for larynx trauma from prolonged endotracheal intubation. Most cases were managed conservatively, with successful healing in all but one patient, highlighting effective treatment for pediatric airway injury.
Area of Science:
- Pediatric Otolaryngology
- Respiratory Medicine
- Medical Device Complications
Background:
- Long-term endotracheal intubation can cause significant larynx trauma in children.
- Pediatric airway management requires careful consideration of potential complications.
- Laryngeal injury necessitates specialized treatment protocols.
Purpose of the Study:
- To report on the management and outcomes of pediatric patients with larynx trauma.
- To evaluate the effectiveness of conservative and surgical interventions for intubation-induced laryngeal injury.
- To analyze the long-term sequelae of endotracheal intubation in children.
Main Methods:
- Retrospective review of 15 pediatric cases treated between 1976-1978.
- All patients underwent tracheostomy for airway management.
- Treatment approaches included conservative management and, in one case, laryngofissure with subsequent dilatations.
Main Results:
- Tracheostomy was performed in all 15 children.
- Conservative treatment was the primary approach for laryngeal changes.
- Successful healing was achieved in 14 out of 15 patients; plastic surgery aided decannulation.
Conclusions:
- Conservative management, alongside tracheostomy, is effective for pediatric larynx trauma.
- Surgical interventions like laryngofissure may require further procedures.
- Prompt and appropriate treatment leads to successful outcomes in most cases of intubation-related laryngeal injury.
Abstract:
In 1976-1978 there were 15 children hospitalized in the Children's ORL Clinics in Prague and treated for larynx trauma caused by long-term endotracheal intubation. Tracheostomy was performed in all cases, the changes in the larynx were mostly treated in a conservative manner. In one instance we used laryngofissura; however, further dilatations had to be carried out. With a single exception, all the patients have been healed successfully. Plastic operations were performed to make decannulation easier.