A silastic prosthesis for laryngeal stenosis.
A Silastic prosthesis anchored to a tracheostomy tube was used in the treatment of 5 children with subglottic stenosis. It did not cause any significant tissue reaction and obviated the problems of transfixion sutures. We treated 3 children successfully. Another died from complications owing to the tracheostomy. In the fifth patient the prosthesis was replaced by a Silastic T-tube. The use of the Silastic prosthesis is advocated for tough, dilatable laryngeal strictures, for which a T-tube is unsuitable. The advantages, disadvantages, method of manufacture and technique of insertion are discussed.
D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007818:Laryngeal Diseases / Q000209:etiology / Q000451:nursing / Q000601:surgery*; D007830:Larynx; D008297:Male; D010036:Otolaryngology / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D019736:Prostheses and Implants / Q000009:adverse effects; D012826:Silicone Elastomers; D014140:Tracheotomy
D012826:Silicone Elastomers