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Subglottic Stenosis in Neonates and Children
Author(s) -
PUHAKKA H. J.,
KERO P.,
VALLI P.,
IISALO E.,
ERKINJUNTTI M.
Publication year - 1990
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1990.tb11483.x
Subject(s) - medicine , subglottic stenosis , respiratory distress , intubation , stenosis , endotracheal intubation , gestational age , pediatrics , surgery , el niño , airway , pregnancy , biology , genetics
. From 1978 through 1987, acquired subglottic stenosis was confirmed endoscopically in 31 children. The mean gestational age of the children was 32 weeks and mean birthweight 2180 g. Of the children 84 % were below 12 months of age at the time of diagnosis. Respiratory distress syndrome was confirmed in 17 children. Before diagnosis, 97 % of the children had been treated by endotracheal intubation for ventilatory support, the mean duration of intubation being 37 days. In 10 children, subglottic stenosis was mild and mature and these children were followed up only. Endolaryngeal prosthesis was employed in 2 children and laryngotomy with autogenous bone graft in 5 children. Mean follow‐up time was 5 years 4 months. At follow‐up, 18 of the children showed good or excellent results.