Pitfalls in preoperative management of acquired laryngeal stenosis. The problem of the hidden obstruction in the airway.
Most acquired laryngeal stenoses in infants and children can be treated surgically with successful outcome. We describe two patient cases in which removal of such a stenosis did not result in decanulation, because another, hidden obstruction was present. This demonstrates the importance of preoperative assessment to indicate factors that influence the outcome of surgery, especially in infants with a syndrome. Guidelines for preoperative management and an extensive list of syndromes in which a hidden obstruction can be suspected, are presented.
Hoeve
L J Hans
LJ
Department of Otorhinolaryngology, Sophia Children's Hospital, Erasmus MC, P.O. Box 2060, 3000 CB Rotterdam, The Netherlands. hoeve@audi.azr.nl
van der Eerden
Paul A
PA
D000402:Airway Obstruction / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007829:Laryngostenosis / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D017410:Practice Guidelines as Topic; D011300:Preoperative Care; D013577:Syndrome