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Laryngotracheal stenosis in children after intubation. Report of five cases
Author(s) -
WIEL E,
VILETTE B,
DARRAS J.A,
SCHERPEREEL Ph,
LECLERC F
Publication year - 1997
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1997.d01-101.x
Subject(s) - medicine , intubation , stridor , subglottic stenosis , stenosis , complication , incidence (geometry) , laryngotracheal stenosis , surgery , anesthesia , laryngoscopy , subglottis , tracheal stenosis , larynx , airway , radiology , glottis , physics , optics
Acquired laryngotracheal stenosis is a serious long term complication of tracheal intubation with an incidence of 0.7 to 8% in intubated children. We report five cases of subglottic stenosis over a 4.5‐year period and review the pathology and pathogenesis of the condition. A diagnosis of subglottic stenosis was suspected when extubation failed due to the onset of dyspnoea or laryngeal stridor. An incidence of 0.9% of all intubated children was observed. We conclude that the main components contributing to stenosis are pathologies with decreased mucosal capillary perfusion pressure and intubation conditions.