Related Experiment Videos
[Surgical treatment of acquired laryngotracheal stenosis in children]
M Bartdomé Benito1, J Cervera Escario, P Ortega del Alamo
1Servicios de O.R.L., Hospital Infantil, Madrid.
Insights
Posterior cricoid split with hyoid bone graft and laryngeal stenting effectively treated severe laryngotracheal stenosis in children. This surgical approach enabled successful extubation for all seven pediatric patients.
Area of Science:
- Pediatric surgery
- Otolaryngology
- Respiratory medicine
Background:
- Severe laryngotracheal stenosis is a growing concern in children, often resulting from prolonged endotracheal intubation for respiratory support.
- Existing treatments for extensive tracheal stenosis have limitations, necessitating innovative surgical solutions.
Purpose of the Study:
- To evaluate the efficacy of posterior cricoid split combined with hyoid bone grafting and laryngeal stenting in pediatric patients with severe laryngotracheal stenosis.
Main Methods:
- Seven pediatric patients (9 months to 14 years) underwent posterior cricoid split and hyoid bone grafting.
- Montgomery Silastic laryngeal stents were used for stenting in all cases for a duration of three weeks.
Main Results:
- All seven patients treated with this combined surgical technique were successfully extubated.
- The procedure addressed severe laryngotracheal stenosis in a pediatric cohort.
Conclusions:
- Posterior cricoid split with hyoid bone graft and subsequent laryngeal stenting is a viable and effective treatment for severe pediatric laryngotracheal stenosis.
- This surgical intervention facilitates decannulation and improves respiratory outcomes in affected children.
Abstract:
Severe laryngotracheal stenosis in children is a problem of increasing incidence following the widespread adoption of prolonged endotracheal intubation for respiratory support. A variety of methods have been developed to solve the problem of extensive tracheal stenosis. Seven patients from 9 months to 14 years were treated from December 1992 to November 1994 with posterior cricoid split and hyoid bone graft. Stenting was performed in all cases with a Montgomery Silastic laryngeal stent during three weeks. All patients have been extubated.