Slide laryngotracheoplasty for congenital subglottic stenosis in newborns and infants.
Subglottic stenosis
congenital stridor
neonatal
slide laryngotracheoplasty
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
26
02
2019
revised:
29
05
2019
accepted:
27
06
2019
pubmed:
28
7
2019
medline:
25
8
2020
entrez:
28
7
2019
Statut:
ppublish
Résumé
Subglottic stenosis is the most common laryngeal anomaly necessitating tracheostomy in early childhood. Crico- and laryngotracheal resection and laryngotracheal reconstruction-usually with autologous cartilage graft implantation-are the most effective treatments. These surgical techniques are obviously challenging in neonatal age and infancy. However, a reconstructive surgery performed at early age may prevent the sequel of complications. The authors present their novel surgical method for congenital subglottic stenosis. Seven infants had inspiratory stridor; two of them had to be intubated and one required tracheostomy. Laryngotracheoscopy, CT or MRI revealed subglottic stenosis: Cotton-Myer grade II in one, and grade III in six cases. Slide laryngotracheoplasty was performed before 5 months of age (10-130 days), with a follow-up period of average 36 months (4-80 months). Phoniatry and quality of life questionnaire were used for evaluation of postoperative results. Slide laryngotracheoplasty in the neonatal age made the temporary tracheostomy unnecessary. All babies remained intubated for 3 to 10 days with an uncuffed tracheal tube. After extubation, no dyspnea or swallowing disorder occurred. A subjective quality of life questionnaire, laryngotracheoscopy, clinical growth charts showed satisfactory functional results. Single-stage slide laryngotracheoplasty might be a favorable solution for subglottic stenosis, even in early childhood. In one step, the airway can be maintained without stenting and tracheostomy. 4 Laryngoscope, 130:E199-E205, 2020.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E199-E205Informations de copyright
© 2019 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Holinger PH, Johnson KC, Schhiller F. Congenital anomalies of larynx. Ann Otol Rhinol Laryngol 1954;63:581-606.
Tucker GF, Ossoff RH, Newman AN, Holinger LD. Histopathology of congenital subglottic stenosis. Laryngoscope 1979;89:866-877.
Hanlon K, Boesch RP, Jacobs I. Subglottic stenosis. Current problems in pediatric and adolescent health care. 2018;48:129-135.
George M, Ikonomidis C, Jaquet Y, Monnier P. Partial cricotracheal resection for congenital subglottic stenosis in children: the effect of concomitant anomalies. Int J Pediatr Otorhinolaryngol 2009;73:981-985.
Landsman JS, Werkhaven EA, Motoyama K. Smith's Anesthesia for Infants and Children. St. Louis: Mosby; 2011:786-820.
Niall JD, Aliza P, Cohen MA, Rutter MJ. Subglottic stenosis. Semin Pediatr Surg 2016;25:138-143.
Monnier P. Pediatric Airway Surgery Management of Laryngotracheal Stenosis in Infants and Children. New York: Springer; 2011.
Pandian V, Garg V, Antar R, Best S. Discharge education and caregiver coping of pediatric patients with a tracheostomy: systematic review. ORL Head Neck Nurs 2016;34:17-18, 20-27.
Nakarada-Kordic I, Patterson N, Wrapson J, Rea SD. A systematic review of patient and caregiver experiences with a tracheostomy. Patient 2018;11:175-191.
Flynn AP, Carter B, Bray L, Donne AJ. Parents' experiences and views of caring for a child with a tracheostomy: a literature review. Int J Pediatr Otorhinolaryngol 2013;77:1630-1634.
Yamamoto K, Monnier P, Holtz F, Jaquet Y. Laryngotracheal reconstruction for pediatric glotto-subglottic stenosis. Int J Pediatr Otorhinolaryngol 2014;78:1476-1479.
Sandu K, Monnier P. Partial cricotracheal resection with tracheal intussusception and cricoarytenoid joint mobilization: early experience in a new technical variant. Laryngoscope 2011;121:2150-2154.
Hartley EJ, Rutter MJ, Cotton RT. Cricotracheal resection as a primary procedure for laryngotracheal stenosis in children. Int J Pediatr Otorhinolaryngol 2000;54:133-136.
Smith DF, de Alarcon A, Jefferson ND, et al. Short- versus long-term stenting in children with subglottic stenosis undergoing laryngotracheal reconstruction. Otolaryngol Head Neck Surg 2018;158:375-380.
Jaquet Y, Lang F, Pilloud R, Savary M, Monnier P. Partial cricotrachealresection for pediatric subglottic stenosis: long-term outcome in 57 patients. J Thorac Cardiovasc Surg 2005;130:726-732.
Quesnel MA, Gi Soo Lee, Nuss RC, Volk MS, Jones DT, Rahbar R. Minimally invasive endoscopic management of subglottic stenosis in children: success and failure. Int J Pediatr Otorhinolaryngol 2011;75:652-656.
Maresh A, Preciado DA, O'Connell AP, Zalzal GH. a comparative analysis of open surgery vs endoscopic balloon dilation for pediatric subglottic stenosis. JAMA Otolaryngol Head Neck Surg 2014;140:901-905.
White DR, Cotton RT, Bean JA, et al. Pediatric cricotracheal resection: surgical outcomes and risk factor analysis. Arch Otolaryngol Head Neck Surg 2005;131:896-899.
McQueen CT, Shapiro NL, Leighton S, et al. Singlestage laryngotracheal reconstruction: the Great Ormond Street experience and guidelines for patient selection. Arch Otolaryngol Head Neck Surg 1999;125:320-322.
Ochi JW, Evans JN, Bailey CM, Ann I. Laryngotracheoplasty and laryngotracheal reconstruction. Pediatric airway reconstruction at Great Ormond Street: a ten-year review. Ann Otol Rhinol Laryngol 1992;101:465-468.
Sittel C. Laryngotracheale Stenosen im kindesalter. Laryngo-Rhino-Otol 2012;91:478-485.
George M, Ikonomidis C, Jaquet Y, Monnier P. Partial cricotracheal resection in children: potential pitfalls and avoidance of complications. Otolaryngol Head Neck Surg 2009;141:225-231.
Schmidt RJ, Shah G, Sobin L, Reilly JS. Laryngotracheal reconstruction in infants and children: are single-stage anterior and posterior grafts a reliable intervention at all pediatric hospitals? Int J Pediatr Otorhinolaryngol 2011;75:1585-1588.
Penchyna JG, Ortíz HE, Teyssier MG, Rivas RI, Preciado D, Álvarez-Neri H. Extended cricotracheal resection with posterior costochondral grafting for complex pediatric subglottic stenosis. Int J Pediatr Otorhinolaryngol 2016;88:213-216.
Yamamoto K, Jaquet Y, Ikonomidis C, Monnier P. Partial cricotracheal resection for paediatric subglottic stenosis: update of the Lausanne experience with 129 cases. Eur J Cardiothorac Surg 2015;47:876-882.
Hartnick CJ, Hartley BEJ, Willging P, et al. Surgery for pediatric subglottic stenosis: disease-specific outcomes. Ann Otol Rhinol Laryngol 2001;110:1109-1113.
Sittel C. Pathologies of the larynx and trachea in childhood. GMS Curr Top Otorhinolaryngol Head Neck Surg 2014;13:1011-1865.
Sandu K, Monnier P. Cricotracheal resection. Otolaryngol Clin North Am 2008;41:981-998.