08:28 AM: Laryngotracheal Reconstruction for Wegeners Subglottic Stenosis

2006 ◽  
Vol 135 (2_suppl) ◽  
pp. P71-P71
Author(s):  
Namit Agrawal ◽  
Gavin A J Morrison
Keyword(s):  
Subglottic Stenosis ◽  
Laryngotracheal Reconstruction

scholarly journals Utility of Two-Stage Laryngotracheal Reconstruction in the Management of Subglottic Stenosis in Adults

2009 ◽  
Vol 119 (S3) ◽  
pp. S263-S263
Author(s):  
Nathan A. Deckard ◽  
Justin Yeh ◽  
Michael Criddle ◽  
Robert Stachler ◽  
James Coticchia
Keyword(s):  
Subglottic Stenosis ◽  
Two Stage ◽  
Laryngotracheal Reconstruction

Laryngotracheal Reconstruction Using Microplates in a Porcine Model With Subglottic Stenosis

1996 ◽  
Vol 106 (3) ◽  
pp. 301-305 ◽  
Author(s):  
Mary T. Mitskavich ◽  
Frank L. Rimell ◽  
Andrew M. Shapiro ◽  
J. Christopher Post ◽  
Silloo B. Kapadia
Keyword(s):  
Porcine Model ◽  
Subglottic Stenosis ◽  
Laryngotracheal Reconstruction

Development of a high fidelity subglottic stenosis simulator for laryngotracheal reconstruction rehearsal using 3D printing

2019 ◽  
Vol 124 ◽  
pp. 134-138 ◽  
Author(s):  
Chelsea L. Reighard ◽  
Kevin Green ◽  
Allison R. Powell ◽  
Deborah M. Rooney ◽  
David A. Zopf
Keyword(s):  
3D Printing ◽  
Subglottic Stenosis ◽  
High Fidelity ◽  
Laryngotracheal Reconstruction

Effect of stenting after laryngotracheal reconstruction in a subglottic stenosis model☆☆☆

2000 ◽  
Vol 122 (4) ◽  
pp. 488-494 ◽  
Author(s):  
BRIAN S. JEWETT ◽  
RAYMOND D. COOK ◽  
KENNETH L. JOHNSON ◽  
THOMAS C. LOGAN ◽  
WILLIAM W. SHOCKLEY
Keyword(s):  
Subglottic Stenosis ◽  
Laryngotracheal Reconstruction

Treatment of Severe Subglottic Stenosis without Tracheotomy

1982 ◽  
Vol 91 (4) ◽  
pp. 407-412 ◽  
Author(s):  
Lauren D. Holinger
Keyword(s):  
Surgical Technique ◽  
General Anesthesia ◽  
Subglottic Stenosis ◽  
Infants And Children ◽  
Endoscopic Procedures ◽  
Laryngeal Trauma ◽  
Endoscopic Excision ◽  
Laryngotracheal Reconstruction

Subglottic stenosis in neonates, infants and children is one of the most challenging problems confronting the pediatric otolaryngologist today. Small patients with congenital or acquired stenosis severe enough to require tracheotomy must undergo repeated endoscopic procedures or laryngotracheal reconstruction; weeks, months, or years may be required to attain a lumen large enough to permit decannulation. During 1981, six infants and children with severe subglottic stenosis were managed without tracheotomy. The surgical technique employed involves endoscopic excision of the offending subglottic tissue using the CO2 laser and suspension microlaryngoscopy. Intraoperative intubation is avoided by using an insufflation technique for general anesthesia which permits unobstructed visualization of the larynx, thereby avoiding laryngeal trauma and edema.

Laryngotracheal Reconstruction in Children

1981 ◽  
Vol 90 (5) ◽  
pp. 516-520 ◽  
Author(s):  
Robin T. Cotton ◽  
John N. G. Evans
Keyword(s):  
Pediatric Population ◽  
Great Majority ◽  
Scar Tissue ◽  
Subglottic Stenosis ◽  
Growth Potential ◽  
Laryngotracheal Reconstruction ◽  
Unique Experience ◽  
Endoscopic Methods ◽  
Reconstructive Techniques ◽  
Early Phases

Congenital and acquired subglottic stenosis is a commonly encountered problem in the pediatric population. In acquired cases endotracheal intubation is responsible for its development in the great majority of cases, but high tracheotomy, laryngeal burns, external neck trauma, and tumors, both intrinsic and extrinsic, are occasionally seen. The management of mature subglottic stenosis in children remains a controversial issue. The prevailing attitude of otolaryngologists is to perform a tracheotomy and hope for decannulation after one or two years, due to the expected growth of the larynx. Unfortunately, some of the acquired lesions are so severe that often no lumen is demonstrable. In such cases no amount of growth will allow extubation. A variety of endoscopic methods, such as dilation with or without resection using diathermy or laser, are certainly helpful in the early phases of wound healing while the scar tissue is soft and pliable. To deal with the mature, hard, fibrous, unresponsive scar various authors have proposed differing laryngotracheal reconstructive techniques. The authors discuss a unique experience of laryngotracheal reconstruction in 103 children. They define their indications for the three procedures that are most widely used, and address the issue raised by opponents of laryngotracheal reconstruction in children, namely the consideration that laryngeal growth potential may be adversely affected by such external operations. The authors have evidence that this has not occurred in 35 cases followed for a minimum of five years.

scholarly journals A Modified Laryngeal Stent for Glotto-Subglottic Stenosis: A Novel Stent for Better Outcomes

2019 ◽  
pp. 014556131988307
Author(s):  
Jeffrey D. Wilcox ◽  
Michel Nassar
Keyword(s):  
Reconstructive Surgery ◽  
Subglottic Stenosis ◽  
Laryngotracheal Stenosis ◽  
Excellent Outcome ◽  
Laryngotracheal Reconstruction ◽  
And Function ◽  
Dependent Patient

Management of laryngotracheal stenosis is challenging and laryngotracheal stenosis is generally managed with laryngotracheal reconstruction. Stents are often used as part of the reconstructive surgery. Although most stents adequately stabilize the reconstruction during healing, they often do a poor job of mimicking glottic anatomy, particularly the anterior glottis. Here, we present a modified suprastomal stent designed to stabilize reconstruction after laryngotracheal reconstruction while also improving postoperative glottic anatomy and function. The case of a 15-year-old tracheostomy-dependent patient with glotto-subglottic stenosis who underwent laryngotracheal reconstruction using this modified stent is described. The patient had an excellent outcome with decannulation of her tracheostomy and significant improvement in voice.

Laryngotracheal reconstruction for pediatric glotto-subglottic stenosis

2014 ◽  
Vol 78 (9) ◽  
pp. 1476-1479 ◽  
Author(s):  
Kazumichi Yamamoto ◽  
Philippe Monnier ◽  
Florence Holtz ◽  
Yves Jaquet
Keyword(s):  
Subglottic Stenosis ◽  
Laryngotracheal Reconstruction

Short- versus Long-term Stenting in Children with Subglottic Stenosis Undergoing Laryngotracheal Reconstruction

2017 ◽  
Vol 158 (2) ◽  
pp. 375-380 ◽  
Author(s):  
David F. Smith ◽  
Alessandro de Alarcon ◽  
Niall D. Jefferson ◽  
Meredith E. Tabangin ◽  
Michael J. Rutter ◽  
...  
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Case Series ◽  
Subglottic Stenosis ◽  
Short Term ◽  
Number Of Children ◽  
Laryngotracheal Reconstruction ◽  
Significant Difference ◽  
Outcomes For Children

Objectives Suprastomal stents are routinely used in laryngotracheal reconstruction (LTR) to stabilize grafts and provide framework to sites of repair. However, the duration of stenting varies according to patient history and physician preference. We examined outcomes of short- versus long-term stenting in children with subglottic stenosis (SGS) undergoing LTR. Study Design Case series with chart review. Setting Tertiary care pediatric hospital. Subjects and Methods Thirty-six children <18 years old who underwent double-stage LTR for SGS from January 2012 to January 2015 were included. Demographic data, stenosis grade, and decannulation rates were compared between children with short-term stenting (≤21 days; n = 14) and those with long-term stenting (>21 days; n = 22). Results No significant difference between groups was seen for sex, age, race, or previous repair. Children in the short-term group were stented for 10.9 ± 4.9 days, compared with 44.0 ± 10.6 for those long-term ( P < .0001). A similar number of children with short- versus long-term stents had grade 3/4 stenosis preoperatively (71.4% vs 77.2%). Although time to decannulation was not significantly different, 72.7% of children with long-term stents were decannulated, as opposed to 35.7% with short-term stents ( P = .03). After adjusting for grade at surgery and age, children with long-term stents had 4.3 greater odds (95% CI, 1.0-18.3) of decannulation than children with short-term stents. Conclusions Children with long-term stenting were more likely to be successfully decannulated. Although long-term stenting improved outcomes for children with SGS, additional research is needed to better define ideal candidates for short- versus long-term stenting.

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