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Laser-Assisted Endoscopic Cricotracheal Stenosis Resection (CTSR) in Paediatric Congenital Cartilaginous Subglottic Stenosis
Joint Authors
Arafat, Abdullah S.
Alshammari, Jaber
Halawani, Mohammed
Source
International Journal of Otolaryngology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-29
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173052