[Cicatrical stenoses of the larynx (author's transl)].
16 cases of laryngeal (14 laryngo-tracheal) stenosis. 8 patients suffered from relatively uncomplicated subglottic cicatrices. These were treated after ventral cricotomy by excision, epithelial covering and tamponades or stents. In 7 cases with severe stenoses we performed a complete cricotomy and thyrotomy. The larynx was widened by implantation of a composite graft taken from the ear between the split posterior wall of the circoid (Rethi's maneouver). The following open treatment with tamponades or stents succeeded in 6 cases. Surgical correction of laryngeal stenoses should create a wide lumen with solid epithelial lining. Uncomplicated cases took 10 weeks, complicated cases 11 months in average until the laryngo-tracheostoma could be closed.
D000063:Accidents, Traffic; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery*; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000601:surgery; D014140:Tracheotomy
Die narbigen Kehlkopfengen und ihre Behandlung