Successful treatment of idiopathic laryngotracheal stenosis by resection and primary anastomosis.
We studied the early and long-term response of idiopathic laryngotracheal stenosis (ILTS) to treatment by 1-stage laryngotracheal or tracheal resection and reconstruction in 73 patients. Nineteen of the 72 (26%) noted no difference in their voices or any difficulty in breathing after reconstruction. Forty-seven (64%) described loss of ability to project their voices as loudly as before or noted some difficulty in singing as well as they did before. Five (7%) had various degrees of dyspnea or stridor on effort. One needed continued dilation. The median follow-up was 8 years. Surgical treatment gave good or excellent results in 90% of these patients with ILTS. Recurrence or progression of stenosis was not evident.
Grillo
Hermes C
HC
Division of General Thoracic Surgery, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
Mathisen
Douglas J
DJ
Ashiku
Simon K
SK
Wright
Cameron D
CD
Wain
John C
JC
D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects; D011184:Postoperative Period; D014135:Tracheal Stenosis / Q000503:physiopathology / Q000601:surgery*; D014140:Tracheotomy; D016896:Treatment Outcome; D014833:Voice Quality