title: [Surgical treatment of pediatric laryngeal stenosis in the area of the ring cartilage].
abstract: In the past 15 years, infants and children with laryngeal stenosis have also been successfully treated with laryngotracheoplasty. From 1991 to 1993 we performed a surgical treatment in 20 pediatric patients with subglottic stenosis. The anterior cricoid split procedure should always be considered in children who cannot be extubated before undergoing tracheotomy, especially because in case of failure there are no disadvantages for any further operative measurements. By modifying the technique described by Cotton and Seid (1980), we performed an endoscopically controlled anterior cricoid split in 5 children via an endolaryngeal approach. 4 of these patients were extubated within 10 days after using a nasotracheal tube for splinting the cricoid level. In 14 patients with a tracheostoma we used a modification of Réthi's division of the posterior lamina of the cricoid by the placement of a autogenous costal cartilage graft. A 6-week-period of stenting is required for sufficient healing and stability of the reconstructed airway.
authors.affiliation: Klinik und Poliklinik für Hals-, Nasen- und Ohrenkranke, Ludwig-Maximilians-Universität München, Klinikum Grosshadern.
authors.forename: S
authors.initials: S
authors.lastname: Holtmann
authors.forename: N
authors.initials: N
authors.lastname: Kleinsasser
authors.forename: K
authors.initials: K
authors.lastname: Mantel
authors.forename: A
authors.initials: A
authors.lastname: Merkenschlager
mesh_terms: D002648:Child; D002675:Child, Preschool; D003413:Cricoid Cartilage / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007828:Laryngoscopy; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D012121:Respiration, Artificial; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*
vernacular_title: Die chirurgische Behandlung der kindlichen Larynxstenose im Ringknorpelbereich.