Laryngotracheal reconstruction of the congenital glotto-subglottic stenosis with autogenous thyroid cartilage interposition: a case report.
Surgical correction of grade III glotto-subglottic stenosis in a two-month-old girl was illustrated in a staged manner. Firstly, a silicone keel was placed via anterior thyrotomy following a tracheotomy. Secondly, laryngotracheal reconstruction was performed by interposing an autogenous thyroid cartilage anteriorly between the edges of the longitudinally divided cricoid cartilage and the upper tracheal rings. A stent was maintained for two months. The glottis and subglottis appeared patent and healed following removal of the stent. A meaningful voice and rather comfortable respiration were observed during a 13-month follow-up. The use of thyroid cartilage autograft offers many advantages in laryngotracheal reconstruction with considerably less technical difficulty.
Department of Otolaryngology, Medicine Faculty of Inönü University, Malatya, Turkey. orhanent@yahoo.com
Orhan
O
Ozturan
Ahmet
A
Kizilay
Murat Cem
MC
Miman
Semih
S
Oncel
M Tayyar
MT
Kalcioğlu
Tamer
T
Erdem
D005260:Female; D006801:Humans; D007223:Infant; D007829:Laryngostenosis / Q000151:congenital* / Q000601:surgery*; D019651:Plastic Surgery Procedures; D015607:Stents; D013957:Thyroid Cartilage / Q000637:transplantation*; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery*