title: Laryngotracheal stenosis in children after intubation. Report of five cases.
abstract: Acquired laryngotracheal stenosis is a serious long term complication of tracheal intubation with an incidence of 0.7 to 8% in intubated children. We report five cases of subglottic stenosis over a 4.5-year period and review the pathology and pathogenesis of the condition. A diagnosis of subglottic stenosis was suspected when extubation failed due to the onset of dyspnoea or laryngeal stridor. An incidence of 0.9% of all intubated children was observed. We conclude that the main components contributing to stenosis are pathologies with decreased mucosal capillary perfusion pressure and intubation conditions.
authors.affiliation: Département d'Anesthésie-Réanimation chirurgicale II, Hôpital Calmette, CHRU Lille, France.
authors.forename: E
authors.initials: E
authors.lastname: Wiel
authors.forename: B
authors.initials: B
authors.lastname: Vilette
authors.forename: J A
authors.initials: JA
authors.lastname: Darras
authors.forename: P
authors.initials: P
authors.lastname: Scherpereel
authors.forename: F
authors.initials: F
authors.lastname: Leclerc
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D012189:Retrospective Studies; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy