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Single-stage adult laryngotracheal reconstruction without stenting. Laryngoscope 2001 May;111(5):765-8

Date

05/19/2001

Pubmed ID

11359153

DOI

10.1097/00005537-200105000-00003

Abstract

OBJECTIVES/HYPOTHESIS: To present the indications, surgical technique, and results of single-stage laryngotracheal reconstruction (SSLTR) without stenting for laryngotracheal stenosis (LTS) in adults. Various open surgical techniques have been previously described for LTS in adults; however, these techniques usually involve placement of intraluminal stents. The practice of early extubation without stenting is common for pediatric SSLTR. The success of this technique in the pediatric population has led to a trial of the same technique in selected cases of adult LTS.

STUDY DESIGN: Retrospective review.

METHODS: A retrospective review was conducted on 15 patients with glottic, subglottic, or tracheal stenosis or a combination of these, who underwent SSLTR with composite nasal septal grafts or costal cartilage grafts without stenting.

RESULTS: All patients were extubated or decannulated 1 to 7 days after surgery. Three of the 15 patients had no further procedures. Three patients had a second SSLTR to repair stenosis at a different level with no further difficulties. Eight patients had additional endoscopic airway procedures after extubation or decannulation, and one patient died in the immediate postoperative period. All 14 surviving patients are decannulated and well at the time of writing.

CONCLUSION: For LTS in selected adult cases, SSLTR without stenting is a viable option. Indications, surgical technique, and complications are presented.

Author List

Rhee JS, Toohill RJ

Author

John S. Rhee MD Chair, Professor in the Otolaryngology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Female
Humans
Laryngostenosis
Larynx
Male
Middle Aged
Reconstructive Surgical Procedures
Retrospective Studies
Trachea
Tracheal Stenosis
jenkins-FCD Prod-478 d1509cf07a111124a2d122fd3df854cc0b993c00