Experience with one-stage laryngotracheal reconstruction

Kerstin Stenson, Richard Berkowitz, Timothy McDonald, Benjamin Gruber

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Eight patients (ages 10 months to 5 years) underwent laryngotracheal reconstruction (LTR) without intraluminal stenting or tracheostomy. All patients had moderate to severe acquired or congenital subglottic stenosis. Six patients were tracheostomy-dependent prior to reconstruction. The other two children were intubated and would have required tracheostomy for airway control. LTR and decannulation/extubation were accomplished as a one-stage procedure. Autologous rib cartilage was used (anterior graft only - 6 patients, anterior and posterior graft - 3 patients) and patients were intubated for 7-10 days. Pulmonary complications from the week-long intubation and intensive care unit stay were common, but easily managed. Seven of eight patients were successfully decannulated/extubated.

Original languageEnglish (US)
Pages (from-to)55-64
Number of pages10
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume27
Issue number1
DOIs
StatePublished - May 1993

Keywords

  • Cartilage graft
  • Laryngotracheal reconstruction
  • Subglottic stenosis
  • Tracheostomy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

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