Cui P, Chen W
Department of Otolaryngology-Head and Neck Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, People's Republic of China.
J Laryngol Otol. 2009 Nov;123(11):1233-6. doi: 10.1017/S0022215109990843. Epub 2009 Aug 19.
We evaluated the efficacy of laryngotracheal reconstruction with costal cartilage grafting for the treatment of idiopathic laryngotracheal stenosis.
From January 2001 to December 2005, 129 patients with laryngotracheal stenosis were treated at our hospital. Of these patients, five (4 per cent) female patients whose ages ranged from 14 to 34 years were identified as having idiopathic laryngotracheal stenosis. These patients were treated with a modified laryngotracheal reconstruction with anterior costal cartilage grafting. A Montgomery T-tube remained in place for 12 to 22 months.
Three patients presented with grade three and two with grade two stenosis. Three patients were decannulated after one procedure, with normal respiratory function and good exercise tolerance; one patient was decannulated after two procedures. One patient failed decannulation. The mean time to decannulation was 13 months.
Laryngotracheal reconstruction with anterior costal cartilage grafting is a safe and effective method, and provides an alternative treatment for idiopathic laryngotracheal stenosis.
我们评估了采用肋软骨移植进行喉气管重建治疗特发性喉气管狭窄的疗效。
2001年1月至2005年12月，我院共治疗129例喉气管狭窄患者。其中，5例（4%）年龄在14至34岁之间的女性患者被确诊为特发性喉气管狭窄。这些患者接受了改良的前路肋软骨移植喉气管重建术。蒙哥马利T形管留置12至22个月。
3例患者为三级狭窄，2例为二级狭窄。3例患者一次手术后拔管，呼吸功能正常，运动耐量良好；1例患者两次手术后拔管。1例患者拔管失败。拔管的平均时间为13个月。
前路肋软骨移植喉气管重建术是一种安全有效的方法，为特发性喉气管狭窄提供了一种替代治疗方案。
