Department of Otolaryngology and Head and Neck Surgery, Iran University of Medical Science, Hazrate Rasoul hospital, Tehran, Iran.
J Voice. 2010 Nov;24(6):755-7. doi: 10.1016/j.jvoice.2009.06.002. Epub 2010 Jan 18.
Subglottic stenosis is congenital or acquired narrowing of subglottic area. The management of subglottic stenosis is still a serious surgical challenge. Although different surgical techniques are accomplished to manage the condition, no standard treatment has been presented yet.
Titanium mesh was used in the reconstruction of the anterior laryngotracheal wall in 10 tracheostomized patients with laryngotracheal stenosis because of prolonged intubation. The anterior laryngotracheal wall was split, followed by excision of scar tissue. After several weeks, in a second-stage performance, the titanium plate was fixed at the split edges.
Finally, all the patients were decanulated. However, one patient developed respiratory distress because of granulation tissue and underwent a second trial of decanulation. In one patient, the titanium plate extruded.
声门下狭窄是声门下区域的先天性或后天性狭窄。声门下狭窄的治疗仍然是一个严峻的外科挑战。尽管已经完成了不同的手术技术来治疗该病症，但尚未提出标准的治疗方法。
10 例因长时间插管而导致喉气管狭窄的气管切开患者，在前喉气管壁重建中使用钛网。将前喉气管壁切开，然后切除瘢痕组织。数周后，在第二期手术中，将钛板固定在切开的边缘。
最终，所有患者都拔管了。然而，有 1 例患者因肉芽组织而出现呼吸困难，并再次尝试拔管。在 1 例患者中，钛板突出。
