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Single‐Stage Adult Laryngotracheal Reconstruction Without Stenting
Author(s) -
Rhee John S.,
Toohill Robert J.
Publication year - 2001
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-200105000-00003
Subject(s) - medicine , laryngotracheal stenosis , surgery , subglottic stenosis , airway , retrospective cohort study , stage (stratigraphy) , tracheal stenosis , stenosis , stent , single stage , larynx , radiology , paleontology , biology , engineering , aerospace engineering
Objectives/Hypothesis To present the indications, surgical technique, and results of single‐stage laryngotracheal reconstruction (SSLTR) without stenting for laryngotracheal stenosis (LTS) in adults. Various open surgical techniques have been previously described for LTS in adults; however, these techniques usually involve placement of intraluminal stents. The practice of early extubation without stenting is common for pediatric SSLTR. The success of this technique in the pediatric population has led to a trial of the same technique in selected cases of adult LTS. Study Design Retrospective review. Methods A retrospective review was conducted on 15 patients with glottic, subglottic, or tracheal stenosis or a combination of these, who underwent SSLTR with composite nasal septal grafts or costal cartilage grafts without stenting. Results All patients were extubated or decannulated 1 to 7 days after surgery. Three of the 15 patients had no further procedures. Three patients had a second SSLTR to repair stenosis at a different level with no further difficulties. Eight patients had additional endoscopic airway procedures after extubation or decannulation, and one patient died in the immediate postoperative period. All 14 surviving patients are decannulated and well at the time of writing. Conclusion For LTS in selected adult cases, SSLTR without stenting is a viable option. Indications, surgical technique, and complications are presented.