Narcy P, Contencin P, Menier Y, Bobin S, Francois M
Service ORL, Hôpital R. Debré, Université Paris VII, France.
Arch Otorhinolaryngol. 1989;246(5):341-4. doi: 10.1007/BF00463590.
Laryngotracheal stenosis in children is difficult to manage, especially in cases of acquired lesions. Of 317 cases reviewed, 75 surgical cases are reported here: 28 were congenital and 47 acquired, mostly due to endotracheal intubation. A large variety of laryngotracheoplasty techniques have been used in reconstruction, depending on the age and status of the patient, the size of the laryngeal lumen, the exact site of the stenosis and any associated anomalies. The three main techniques used have been described by Evans, Cotton, and Rethi. Stenting relied on Silastic rolls, Montgomery T-tubes and Aboulker Teflon prostheses. The results in 65 patients showed a decannulation rate of 92% in cases of congenital stenosis and 80% in acquired ones. Improvements in therapy still seem necessary in order to reduce the cannulation time following treatment and the sequelae producing dysphonia.
儿童喉气管狭窄难以处理，尤其是后天性病变的情况。在回顾的317例病例中，本文报告了75例手术病例：28例为先天性，47例为后天性，大多数是由于气管插管所致。根据患者的年龄和状况、喉腔大小、狭窄的确切部位以及任何相关异常情况，在重建中使用了各种各样的喉气管成形术技术。Evans、Cotton和Rethi描述了三种主要使用的技术。支架置入依靠硅橡胶卷、蒙哥马利T形管和阿布勒克聚四氟乙烯假体。65例患者的结果显示，先天性狭窄病例的拔管率为92%，后天性狭窄病例的拔管率为80%。为了减少治疗后的插管时间和产生发音障碍的后遗症，治疗方法仍有改进的必要。
