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One-Stage Laryngotracheoplasty

One-Stage Laryngotracheoplasty Abstract • This article documents the evolution of our approach to the repair of subglottic stenosis in infants. With increasing experience in the management of subglottic stenosis using the anterior cricoid split procedure, we extended our procedure to include older children. This then led to the use of the one-stage procedure for repair of severe and mature subglottic stenosis. We present the results of surgical repair in 13 patients. Extubation was accomplished in 12 of 13 patients using one-stage laryngotracheoplasty. (Arch Otolaryngol Head Neck Surg. 1991; 117:408-410) References 1. Cotton RT, Seid AB. Management of the extubation problem in the premature child: anterior cricoid split as an alternative to tracheotomy . Ann Otol Rhinol Laryngol. 1980;89:509-511. 2. Holinger LD, Stankiewicz JA, Livingston GL. Anterior cricoid split: the Chicago experience with an alternative to tracheotomy . Laryngoscope . 1987;97:19-24. 3. Goode RL, Shinn JB. Long term stenting in the treatment of subglottic stenosis . Ann Otol Rhinol Laryngol. 1977;86:795-800. 4. Rethi A. An operation for cicatricial stenosis of the larynx . J Laryngol Otol. 1956;70:283-293.Crossref 5. Aboulker P, Sterkers R, Demaldent E, et al. Modifications apportées à l'intervention de rethi . Ann Otol Laryngol. 1966;83:98-106. 6. Kearns DB, Olson TR, Pransky SM. Technique for costal cartilage harvest for use in laryngotracheal reconstruction . Int J Pediatr Otol. 1989;18:73-75.Crossref 7. Cotton R. Management of subglottic stenosis in infancy and childhood: review of a consecutive series of cases managed by surgical reconstruction . Ann Otol Rhinol Laryngol. 1978;87:649-675. 8. Frankel LR, Anas NG, Perkin RM, Seid AB, Peterson B, Park SM. Use of the anterior cricoid split operation in infants with acquired subglottic stenosis . Crit Care Med. 1984;12:395-398.Crossref 9. Cotton RT. Pediatric laryngotracheal stenosis . J Pediatr Surg. 1984;19:699-704.Crossref 10. Grundfast KM, Coffman AC, Milmoe G. Anterior cricoid split: a 'simple' surgical procedure and a potentially complicated care problem . Ann Otol Rhinol Laryngol. 1985;94:445-449. 11. Piperno D, Backman P, Gaussorgues P, et al. Acute myopathy and status asthmaticus in an intensive care unit: role of hydrocortisone and pancuronium bromide. Presented at the Sixth Congress of the European Society of Pneumology; 1987;Amsterdam, the Netherlands. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (13)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1991.01870160062010
Publisher site
See Article on Publisher Site

Abstract

Abstract • This article documents the evolution of our approach to the repair of subglottic stenosis in infants. With increasing experience in the management of subglottic stenosis using the anterior cricoid split procedure, we extended our procedure to include older children. This then led to the use of the one-stage procedure for repair of severe and mature subglottic stenosis. We present the results of surgical repair in 13 patients. Extubation was accomplished in 12 of 13 patients using one-stage laryngotracheoplasty. (Arch Otolaryngol Head Neck Surg. 1991; 117:408-410) References 1. Cotton RT, Seid AB. Management of the extubation problem in the premature child: anterior cricoid split as an alternative to tracheotomy . Ann Otol Rhinol Laryngol. 1980;89:509-511. 2. Holinger LD, Stankiewicz JA, Livingston GL. Anterior cricoid split: the Chicago experience with an alternative to tracheotomy . Laryngoscope . 1987;97:19-24. 3. Goode RL, Shinn JB. Long term stenting in the treatment of subglottic stenosis . Ann Otol Rhinol Laryngol. 1977;86:795-800. 4. Rethi A. An operation for cicatricial stenosis of the larynx . J Laryngol Otol. 1956;70:283-293.Crossref 5. Aboulker P, Sterkers R, Demaldent E, et al. Modifications apportées à l'intervention de rethi . Ann Otol Laryngol. 1966;83:98-106. 6. Kearns DB, Olson TR, Pransky SM. Technique for costal cartilage harvest for use in laryngotracheal reconstruction . Int J Pediatr Otol. 1989;18:73-75.Crossref 7. Cotton R. Management of subglottic stenosis in infancy and childhood: review of a consecutive series of cases managed by surgical reconstruction . Ann Otol Rhinol Laryngol. 1978;87:649-675. 8. Frankel LR, Anas NG, Perkin RM, Seid AB, Peterson B, Park SM. Use of the anterior cricoid split operation in infants with acquired subglottic stenosis . Crit Care Med. 1984;12:395-398.Crossref 9. Cotton RT. Pediatric laryngotracheal stenosis . J Pediatr Surg. 1984;19:699-704.Crossref 10. Grundfast KM, Coffman AC, Milmoe G. Anterior cricoid split: a 'simple' surgical procedure and a potentially complicated care problem . Ann Otol Rhinol Laryngol. 1985;94:445-449. 11. Piperno D, Backman P, Gaussorgues P, et al. Acute myopathy and status asthmaticus in an intensive care unit: role of hydrocortisone and pancuronium bromide. Presented at the Sixth Congress of the European Society of Pneumology; 1987;Amsterdam, the Netherlands.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Apr 1, 1991

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