Laryngotracheal stenosis in children after intubation. Report of five cases.
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.
Wiel
E
E
Département d'Anesthésie-Réanimation chirurgicale II, Hôpital Calmette, CHRU Lille, France.
Vilette
B
B
Darras
J A
JA
Scherpereel
P
P
Leclerc
F
F
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