Chronic stenosis of the larynx with special consideration of skin grafting. 1940.
1. Treatment for chronic stenosis of the larynx should be delayed until the patient is in the best possible general condition and until any local inflammatory reaction has entirely cleared. 2. The type of treatment indicated in a given instance depends largely on the character and extent of the stenosis rather than on its cause. 3. Bouginage, the most commonly employed procedure in the treatment of stenosis of the larynx, has in our experience at The Mayo Clinic been one of the least effective procedures. 4. Elastic pressure applied by means of soft rubber dilators is one of the most satisfactory methods of treating chronic stenosis. 5. Laryngofissure with excision of the scarring and any thickened or distorted cartilage, followed by skin grafting, is the most effective method of dealing with chronic cicatricial stenosis and often will restore a satisfactory laryngeal lumen after other methods of treatment have failed.
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D049673:History, 20th Century; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology / Q000266:history* / Q000601:surgery; D016038:Skin Transplantation / Q000266:history* / Q000379:methods