title: Single-stage laryngotracheal reconstruction for the treatment of subglottic stenosis in children.
abstract: BACKGROUND
  In recent decades, airway reconstruction has become the treatment of choice for subglottic stenosis (SGS) in children, which is performed in either single or multiple stages. However, there is evidence in the literature that single-stage surgery is more effective.
  
  
  OBJECTIVE
  To evaluate the success rate of single-stage laryngotracheoplasty (LTP) and cricotracheal resection (CTR) in patients that were treated in our hospital.
  
  
  METHODS
  We performed a retrospective study of children undergoing laryngotracheal reconstruction.
  
  
  RESULTS
  Twenty-four children were included. The etiology of SGS was postintubation in 91.6% and congenital in 8.3%. One patient (4.2%) had grade 4 SGS, 17 (70.8%) presented with grade 3 SGS, 4 (16.6%) had grade 2 SGS, 1 (4.2%) had grade 3 SGS associated with glottic stenosis, and 1 (4.2%) had grade 3 SGS with tracheal stenosis. We performed 26 LTPs and 3 CTRs. Decannulation rates were 66% in the CTR procedures and 85.7% in the LTP procedures; the overall decannulation rate was 83.3%. All children presented with fever in the postoperative period, but were afebrile after the tube was removed.
  
  
  CONCLUSIONS
  Our series showed a decannulation rate of 83.3%.
authors.affiliation: Master. Medical Residency Preceptor of Otolaryngology of Hospital São Lucas of PUCRS / Sao Lucas Hospital of PUC/RS - Catholic University, Rio Grande do Sul State, Brazil.
authors.forename: Mariana Magnus
authors.initials: MM
authors.lastname: Smith
authors.affiliation: Master. Medical Residency Preceptor of Otolaryngology of Hospital de Clínicas of Porto Alegre/Clinical Hospital of Porto Alegre, Rio Grande do Sul State, Brazil.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Schweiger
authors.affiliation: Otolaryngologist. Fellowship in Laryngology of Hospital de Clínicas of Porto Alegre/ Clinical Hospital of Porto Alegre, Rio Grande do Sul State, Brazil.
authors.forename: Denise
authors.initials: D
authors.lastname: Manica
authors.affiliation: Otolaryngologist. Fellowship em Rhinology of Hospital de Clínicas of Porto Alegre/ Clinical Hospital of Porto Alegre, Rio Grande do Sul State, Brazil.
authors.forename: Camila Degen
authors.initials: CD
authors.lastname: Meotti
authors.affiliation: Otolaryngologist. Medical Residency Preceptor of Otolaryngology of Hospital São Lucas of PUCRS/ Sao Lucas Hospital of PUC/RS - Catholic University, Rio Grande Do Sul State, Brazil.
authors.forename: Larissa Valency
authors.initials: LV
authors.lastname: Eneas
authors.affiliation: Otolaryngologist. Professor of Otolaryngology and Ophthalmology Department of UFRGS. Medical Residency Preceptor of Otolaryngology of HCPA- Clinical Hospital of Porto Alegre.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Kuhl
authors.affiliation: Post-Ph.D. Professor of Pediatrics Department of UFRGS - Federal University of Rio Grande do Sul State. Medical Residency Preceptor of Pediatrics of HCPA - Clinical Hospital of Porto Alegre.
authors.forename: Paulo Jose Cauduro
authors.initials: PJ
authors.lastname: Marostica
keywords: child; laryngostenosis; larynx