[The laryngo-tracheal reconstruction in the management of laryngo- tracheal stenosis].
Management of stenosis of the subglottic larynx remains one of the most challenging problems facing the laryngologist. This report describes our results treating severe subglottic stenosis. Five patients, 2 males and 3 females, with acquired stabilized laryngotracheal stenosis were treated during the period 1981-1991. Ages ranged from 13 to 62 years. According to Cotton's classification the patients were assigned to a grade II-IV. The cause of the stenosis was trauma in two cases and intubation injury in three. All patients had a previously placed tracheotomy. All patients underwent a Laryngo-Tracheal-Reconstruction (L.T.R.); stenting was performed with a Montgomery type silastic laryngeal T-stent. The stent remained in place between 12 and 14 months. Four patients were decannulated and obtained a satisfactory airway. In one case granulation tissue in the reconstructed subglottis required a following Laser excision. In conclusion we can underline that, in our experience and on Literature reports, L.T.R. is a safe and effective procedure for severe crico-tracheal stenosis.
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Clinica ORL, Facoltà di Medicina di Novara, Università di Torino.
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D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007818:Laryngeal Diseases / Q000503:physiopathology / Q000601:surgery; D007829:Laryngostenosis / Q000601:surgery*; D007830:Larynx / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index
La laryngo-tracheal-reconstruction (L.T.R.) nel trattamento delle stenosi laringo-tracheali.