Narcy P, Contencin P, Fligny I, François M
Robert Debré Children's Hospital, X. Bichat School of Medicine, Paris, France.
Arch Otolaryngol Head Neck Surg. 1990 Sep;116(9):1047-50. doi: 10.1001/archotol.1990.01870090063009.
We report our experience with laryngotracheal stenosis (LTS) in children during the last 12 years. Documentation and follow-up were available for 115 patients who underwent surgery for acquired or congenital LTS. Most were severe cases according to Cotton's classification. Forty-six weighed less than 10 kg at the time of surgery; 45 had pure congenital subglottic stenosis; 70 had acquired subglottic stenosis, mainly due to endotracheal intubation. The surgical techniques used have been various. The three main types of procedure were castellated laryngotracheoplasty, anterior cartilage rib grafting, and anterior and posterior cricoid cuts with or without grafting. All cases but 1 (44/45) of congenital subglottic stenosis have been successfully decannulated, 7 requiring a second procedure. The decannulation rate for acquired SGS was 89% (62/70), but 14 patients required multiple procedures. Current trends in subglottic stenosis management in our institution are presented.
我们报告了过去12年中我们在儿童喉气管狭窄（LTS）方面的经验。对115例接受后天性或先天性LTS手术的患者进行了记录和随访。根据科顿分类法，大多数为严重病例。46例患者手术时体重不足10公斤；45例为单纯先天性声门下狭窄；70例为后天性声门下狭窄，主要原因是气管插管。所采用的手术技术多种多样。三种主要手术方式为城堡状喉气管成形术、前软骨肋移植术以及环状软骨前后切开术（有无移植）。除1例（44/45）先天性声门下狭窄外，所有病例均成功拔管，7例需要二次手术。后天性声门下狭窄的拔管率为89%（62/70），但14例患者需要多次手术。本文介绍了我们机构目前声门下狭窄治疗的趋势。
