[Improving surgical treatment of children with acquired cicatricial stenosis of the larynx and cervical part of the trachea].
Results of surgical treatment of 144 children with acquired cicatricial stenosis of the larynx and cervical compartment of the trachea were analyzed retrospectively. It was found that a temporizing policy was preferable after the first complaints were voiced. They should be operated no earlier than 18 months after stenosis development. In the case of insignificant cicatricial changes CO2 laser treatment was recommended whereas in the case of concentric large scars plastic surgery with an exterior access was to be used. Therapeutic results also depended on the etiology of the pathology. In children with cicatricial stenosis, that developed after intubation trauma of an intact larynx, the results were better. Repeated surgery of small scars produced a high success rate when CO2 laser was used between months 3 and 7. In the case of concentric scars surgical intervention was indicated during months 7-12 after the first operation, with laryngotracheoplasty being the method of choice.
Chireshkin
D G
DG
Zenger
V G
VG
Onufrieva
E K
EK
Shuster
A M
AM
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000150:complications*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D007830:Larynx / Q000293:injuries; D053685:Laser Therapy; D012189:Retrospective Studies; D013997:Time Factors; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*
Ob optimizatsii khirurgicheskogo lecheniia deteĭ s priobretennym rubtsovym stenozom gortani i sheĭnogo otdela trakhei.