[The value of fibroscopy in laryngotracheal stenosis (author's transl)].
The authors report the results of 297 fibroscopies in 69 patients suffering from laryngotracheal stenosis. These examinations were carried out either before treatment or for follow-up purposes. The majority of patients had undergone respiratory intensive therapy. The underlying reason for this intensive therapy was analysed, as well as the techniques used : intubation 26 %, tracheotomy 33,5 %, intubation followed by tracheotomy 40 %. Results of fibroscopy before treatment (111) are described, emphasizing the fact that this fibroscopy was adequate in the great majority of cases (96 %) to reach a decision as to wether surgery was necessary or not, and this even though certain patients had suffered severe respiratory failure. Follow-up fibroscopies (185) were useful in all cases for aspiration of the patient and observation of the suture. In 17 cases, the opportunity was taken to remove a polyp and in 10 cases removal of a suture. Finally, the authors emphasize the safety of this method of investigation (4 % of untoward incidents) which they feel to be necessary and adequate in the evaluation of laryngotracheal stenosis.,
D004724:Endoscopy / Q000379:methods; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007829:Laryngostenosis / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000175:diagnosis*
Intèrêt de la fibroscopie dans les sténoses laryngo-trachéales.