Multimodality Surgical Approach in Management of Laryngotracheal Stenosis
Joint Authors
Source
Case Reports in Otolaryngology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-11, 11 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-04-01
Country of Publication
Egypt
No. of Pages
11
Main Subjects
Abstract EN
Introduction.
Postintubation laryngotracheal stenosis requires a precise diagnosis and an experienced operator in both endoscopic and surgical treatment.
This report presents surgically treated cases of laryngotracheal stenosis secondary to long-term intubation/tracheostomy with review of the literature.
Materials and Methods.
In this retrospective study, we present 5 cases (a 23-year-old male, 13-year-old male, 22-year-old male, 19-year-old male, and 33-year-old female) of postintubation/tracheostomy laryngotracheal (glottic/subglottic) stenosis in the years 2016 and 2017.
Each patient was managed differently.
Intubation characteristics, localization of stenosis, surgical technique and material, postoperative complications, and survival of patients were recorded.
Results.
The site of stenosis was in the subglottis in 4 patients and glottis in 1 patient.
The mean length of the stenosis was greater in the postintubation group.
Postintubation stenosis had a mean duration of intubation of 6.8 days, compared to 206.25 days of cannulation following tracheostomies.
Each patient underwent an average of 2 procedures during their treatment course.
One patient underwent open surgical anastomosis because of recurrent subglottic stenosis after multiple treatments.
Phonation improved immediately in almost all except in the patient who underwent only endoscopic dilatation.
Discussion.
The reasons for laryngeal stenosis and its delayed diagnosis have been reviewed from the literature.
Suture tension should be appropriate, and placement of the suture knot outside the trachea minimizes formation of granulation tissue.
The published reports suggest that resection by endoscopy with laser and open technique resection and primary anastomosis are the best treatment modality so far as the long-term results are concerned.
Conclusion.
Resection of stenotic segment by open surgical anastomosis and laser-assisted resection is a safe option for the treatment of subglottic stenosis following intubation without the need for repeated dilation.
Endoscopic dilation can be reserved for unfit patients.
American Psychological Association (APA)
Ansari, Ashfaque& Thomas, Annju. 2018. Multimodality Surgical Approach in Management of Laryngotracheal Stenosis. Case Reports in Otolaryngology،Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1148431
Modern Language Association (MLA)
Ansari, Ashfaque& Thomas, Annju. Multimodality Surgical Approach in Management of Laryngotracheal Stenosis. Case Reports in Otolaryngology No. 2018 (2018), pp.1-11.
https://search.emarefa.net/detail/BIM-1148431
American Medical Association (AMA)
Ansari, Ashfaque& Thomas, Annju. Multimodality Surgical Approach in Management of Laryngotracheal Stenosis. Case Reports in Otolaryngology. 2018. Vol. 2018, no. 2018, pp.1-11.
https://search.emarefa.net/detail/BIM-1148431
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148431