Treatment of complex laryngotracheal stenosis in childhood–experience of a tertiary University Hospital from 2016 to 2019
| Autor: | Miguel A. C. Coutinho, Lais da Silveira Botacin, Melissa Ameloti Gomes Avelino |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery law.invention 03 medical and health sciences 0302 clinical medicine law medicine 030223 otorhinolaryngology Endoscopic dilation business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 Airway obstruction medicine.disease University hospital Intensive care unit Surgery Stenosis Respiratory failure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Congenital stenosis business Laryngotracheal stenosis |
| Zdroj: | Annals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-7 (2021) |
| ISSN: | 2090-5394 |
| DOI: | 10.1186/s43159-020-00068-2 |
| Popis: | Background Laryngotracheal stenosis is a major cause of airway obstruction in pediatric age. The correction of such abnormality still remains a challenge, both because of anatomical issues in childhood and also due to the difficulty in having properly trained professionals and adequate hospital facilities. As treatment, many different surgical techniques are offered ranging from endoscopic and less invasive procedures to open surgeries, such as laryngotracheal reconstruction and cricotracheal resection. The treatment for complex laryngotracheal stenosis is considered successful when we have decannulation or resolution of respiratory failure with release from intensive care unit. Eighteen patients who were monitored at the pediatric otorhinolaryngology service between 2016 and 2019 were diagnosed with complex stenosis, with the collection of demographic data, comorbidities, degree of initial stenosis, post-treatment aspect, and whether or not decannulation occurred. Results Of the eighteen cases, three had congenital stenosis, fourteen had acquired stenosis, and one had mixed stenosis. Ages ranged from 4 months old to 15 years old. Six (33.3%) underwent endoscopic dilation procedures only, six (33.3%) underwent laryngotracheoplasty, and five (27.7%) cricotracheal resections. One patient underwent a slide tracheoplasty. Seven patients (38.8%) had to undergo more than one type of procedure to improve stenosis. Out of the eighteen patients, three of them were never tracheostomized. Of the remaining fifteen patients, fourteen (93.3%) were decannulated. Conclusions The success rate in decannulation or the resolution of respiratory failure with discharge from the ICU, after the procedures for correcting stenosis in childhood in our service, was 94.4%. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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