T-tube implantation combined with cricoid cartilage reconstruction in the treatment of congenital laryngeal webs with subglottic stenosis.
Congenital laryngeal webs
Open laryngoplasty
Subglottic stenosis
T-tube
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
18
07
2023
accepted:
08
09
2023
medline:
2
11
2023
pubmed:
19
9
2023
entrez:
19
9
2023
Statut:
ppublish
Résumé
To discuss the presentation, evaluation, and management of congenital laryngeal webs with subglottic stenosis. The clinical data of six children were retrospectively analyzed. The median age of these children who came to our hospital was 14 months (range 1-26 months). A tracheotomy was performed in all these six children. The median age of the patients who underwent tracheotomy was 4 months (range 1-11 months). The surgical method was T-tube implantation combined with cricoid cartilage reconstruction. The median age of these patients at the time of operation was 22 months (range 13-35 months). The T-tube remained in place for 3-8 months, with a median time of 6 months. The tracheal tubes in all these children were successfully removed. All patients were followed up for more than 2 years without recurrence. Children who have congenital laryngeal webs with subglottic stenosis required early tracheotomy. Open laryngoplasty combined with T-tube implantation and cricoid cartilage reconstruction may play a crucial role in the treatment of these children.
Identifiants
pubmed: 37725134
doi: 10.1007/s00405-023-08235-y
pii: 10.1007/s00405-023-08235-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5483-5488Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Cohen SR, Thompson JW (1990) Ventral cleft of the larynx: a rare congenital laryngeal defect. Ann Otol Rhinol Laryngol 99:281–285
doi: 10.1177/000348949009900406
pubmed: 2183668
Cohen SR (1985) Congenital glottic webs in children: a retrospective review of 51 patients. Ann Otol Rhinol Laryngol Suppl 121:2–16
doi: 10.1177/00034894850940S601
pubmed: 3935032
Fokstuen S, Bottani A, Medeiros PFV, Stylianos SE, Stoll C, Schinzel A (1997) Laryngeal atresia type III (glottic web) with 22q11.2 microdeletion: report of three cases. Am J Med Gen 70:130–133
doi: 10.1002/(SICI)1096-8628(19970516)70:2<130::AID-AJMG5>3.0.CO;2-1
Goudy S, Bauman N, Manaligod J, Smith RJ (2010) Congenital laryngeal webs: surgical course and outcomes. Ann Otol Rhinol Laryngol 119(10):704–706
doi: 10.1177/000348941011901010
pubmed: 21049857
Lawlor CM, Dombrowski ND, Nuss RC, Rahbar R, Choi SS (2020) Laryngeal web in the pediatric population: evaluation and management. Otolaryngol Head Neck Surg 162(2):234–240
doi: 10.1177/0194599819893985
pubmed: 31842676