Puhakka H J, Kero P, Valli P, Iisalo E, Erkinjuntti M
Department of Otolaryngology, University Central Hospital, Turku, Finland.
Acta Paediatr Scand. 1990 Apr;79(4):397-401. doi: 10.1111/j.1651-2227.1990.tb11483.x.
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 2,180 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.
从1978年至1987年，31名儿童经内镜检查确诊为获得性声门下狭窄。这些儿童的平均胎龄为32周，平均出生体重为2180克。诊断时，84%的儿童年龄在12个月以下。17名儿童确诊患有呼吸窘迫综合征。在诊断前，97%的儿童接受了气管插管以进行通气支持，插管的平均持续时间为37天。10名儿童的声门下狭窄为轻度且已成熟，这些儿童仅进行随访。2名儿童使用了喉内假体，5名儿童进行了自体骨移植喉切开术。平均随访时间为5年4个月。随访时，18名儿童显示出良好或极佳的结果。
