A comparison of the cartilaginous rib graft and Evans-Todd laryngotracheoplasties for subglottic stenosis.
Cartilaginous rib graft interposition and Evans-Todd laryngotracheoplasties were compared in 21 patients with similar degrees of subglottic stenosis. The ultimate success of the repair was similar, but complications were more frequent with the Evans-Todd laryngotracheoplasty. Stent removal and decannulation were accomplished earlier with the cartilage graft laryngotracheoplasty--an average of 21 days to decannulation after stent removal versus 66 days for the Evans-Todd procedure. Granulation tissue was almost universal in the Evans-Todd procedure, and accounted for the long decannulation time. This retrospective study is used as a basis to discuss the relative merits of the two procedures.
Muntz
H R
HR
St. Louis Children's Hospital, Washington University Medical Center, MO.
Lusk
R P
RP
D002356:Cartilage / Q000637:transplantation*; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects; D007830:Larynx / Q000601:surgery*; D012189:Retrospective Studies; D015607:Stents; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods*