Laser-Assisted Endoscopic Cricotracheal Stenosis Resection (CTSR) in Paediatric Congenital Cartilaginous Subglottic Stenosis
المؤلفون المشاركون
Arafat, Abdullah S.
Alshammari, Jaber
Halawani, Mohammed
المصدر
International Journal of Otolaryngology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-6، 6ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-29
دولة النشر
مصر
عدد الصفحات
6
التخصصات الرئيسية
الملخص EN
Subglottic stenosis (SGS) in children can be a congenital condition or acquired through injury such as from prolonged intubation.
Surgeons face challenges in choosing the best SGS treatment for a particular patient because of variability in the success rate of each technique.
Conventional open surgical resection and reconstruction have been proven effective but, in recent years, endoscopic surgery has become more prevalent as it eliminates the incision and reduces the surgery time and subsequent hospital stay.
The purpose of this retrospective case study was to report on an endoscopic technique using a CO2 laser for cricotracheal stenosis resection (CTSR) for high-grade congenital SGS.
From forty-five paediatric patients who underwent endoscopic intervention as a primary modality of treatment for high-grade SGS in a tertiary referral centre, a total of eight patients who met the inclusion criteria have been included in our study.
This small patient series is the first to use a CO2 laser alone as a single excision tool to eliminate complex congenital SGS and restore airway patency.
The procedure’s goal was to return the airway to an early stage of postintubation injury prior to scar formation; therefore, surgical sessions at intervals of 2–3 weeks were performed to ensure natural epithelization, to remove any granulation tissue, and manage fibrosis.
Successful treatment was defined as a resolution of symptoms, restoration of a normal patent airway with no stenosis, and decannulation.
The success rate was 75%.
Two outcomes need to be highlighted.
First, the CO2 laser should be reconsidered as an excision tool for congenital SGS because of its low risk of exacerbating preexisting stenosis.
It allows the surgeon to restore and augment the airway without the need for open surgery or dilatation.
Second, the shorter interval between procedures is crucial for controlling the healing process and making sure that it is proceeding properly.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Alshammari, Jaber& Arafat, Abdullah S.& Halawani, Mohammed. 2020. Laser-Assisted Endoscopic Cricotracheal Stenosis Resection (CTSR) in Paediatric Congenital Cartilaginous Subglottic Stenosis. International Journal of Otolaryngology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1173052
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Alshammari, Jaber…[et al.]. Laser-Assisted Endoscopic Cricotracheal Stenosis Resection (CTSR) in Paediatric Congenital Cartilaginous Subglottic Stenosis. International Journal of Otolaryngology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1173052
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Alshammari, Jaber& Arafat, Abdullah S.& Halawani, Mohammed. Laser-Assisted Endoscopic Cricotracheal Stenosis Resection (CTSR) in Paediatric Congenital Cartilaginous Subglottic Stenosis. International Journal of Otolaryngology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1173052
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1173052
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر