Ochi J W, Evans J N, Bailey C M
Department of Pediatric Otolaryngology, Hospital for Sick Children, London, England.
Ann Otol Rhinol Laryngol. 1992 Jul;101(7):595-7. doi: 10.1177/000348949210100709.
One hundred eight consecutive patients with pediatric laryngotracheal stenosis requiring airway reconstruction over a 10-year period were reviewed. Thirty-two patients required revisional airway reconstruction in an attempt to achieve decannulation. Patients underwent from one to four revisional airway reconstructions, most often laryngotracheal reconstruction with costal cartilage grafting. In the Cotton grading scheme of preoperative stenosis, those patients requiring revisional airway surgery tended to come from the more severely affected categories. Twenty-two patients of 32 (69%) achieved decannulation with revisional airway reconstruction. Thus, revisional airway reconstruction is indicated if the first attempt fails.
回顾了10年间108例连续的需要气道重建的小儿喉气管狭窄患者。32例患者需要进行修正气道重建以尝试实现拔管。患者接受了1至4次修正气道重建，最常见的是肋软骨移植喉气管重建。在术前狭窄的Cotton分级方案中，那些需要修正气道手术的患者往往来自受影响更严重的类别。32例患者中有22例（69%）通过修正气道重建实现了拔管。因此，如果首次尝试失败，则需要进行修正气道重建。
