Paediatric airway stenosis: laryngotracheal reconstruction or cricotracheal resection?

摘要: Modern surgical management of paediatric laryngotracheal stenosis includes a wide variety procedures. These can broadly be divided into two groups. First, reconstruction (LTR) procedures in which the cricoid cartilage is split and framework expanded with various combinations grafts stents; second, cricotracheal resection (CTR) where segmental excision stenotic segment done an end-to-end anastomosis performed. In this article we review literature our experience discuss relative indications for CTR LTR children. High decannulation rates have been reported CTR; however, it remains more extensive procedure than involving tracheal mobilization. If tracheostomy site included then significant length trachea excised. Alternatively, grafting precisely correct specific minimum morbidity high grade 2 selected 3 stenosis. For severe treatment has less successful. Retrospective data from institution suggests that children 4 treated are likely to require subsequent open achieve those CTR. preferred 2, option clear margin between vocal cords.