Acquired laryngeal stenosis in infants and children treated by laryngofissure and stenting.
Thirty young patients with acquired laryngeal stenosis were treated by means of a laryngofissure and stenting. The age distribution suggested two subgroups: infants aged 0-2 years (n = 24), and children aged 6-16 years (n = 6). The causes of the stenosis and the treatment results were different in these subgroups. Treatment resulted in successful decannulation in 22 of 24 infants, and in 5 of 6 children. Treatment included a re-operation in two patients. In 1 patient the therapy failed, and 2 patients died after fatal complications. Decannulation rate, duration of the tracheotomy, and the number of re-operations compare favorably to the results of other centers. The longer duration of stenting, and the high mortality rate may be considered disadvantages.
Hoeve
L J
LJ
Department of Otorhinolaryngology, Sophia Children's Hospital/Erasumus University, Rotterdam, The Netherlands.
Berkovits
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RN
Eskici
O
O
Verwoerd
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CD
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects; D020704:Laryngoscopes; D007828:Laryngoscopy / Q000379:methods; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D009426:Netherlands; D011183:Postoperative Complications; D011379:Prognosis; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome