Laryngotracheoplasty in the management of subglottic stenosis.
Laryngotracheoplasty (LTP) has revolutionized the surgical management of subglottic stenosis in children. A 10-year review of patients at the Children's Hospital of Philadelphia yielded 27 patients who had undergone a LTP. LTP with an anterior cartilage graft was utilized in over 80% of procedures. Morbidity was minimal, and there were no deaths. In this series, 78% of patients have been successfully decannulated. LTP has reduced the time necessary for decannulation in children with chronic tracheostomies as a result of subglottic stenosis.
Department of Otorhinolaryngology and Human Communication, Children's Hospital of Philadelphia, PA 19104.
J D
JD
Luft
R F
RF
Wetmore
L W
LW
Tom
S D
SD
Handler
W P
WP
Potsic
D000293:Adolescent; D002356:Cartilage / Q000637:transplantation; D002648:Child; D002675:Child, Preschool; D005260:Female; D005931:Glottis; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D007829:Laryngostenosis / Q000601:surgery*; D007830:Larynx / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D014132:Trachea / Q000601:surgery*; D014139:Tracheostomy