Duncavage J A, Ossoff R H, Toohill R J
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee 37232.
Ann Otol Rhinol Laryngol. 1989 Aug;98(8 Pt 1):581-5. doi: 10.1177/000348948909800802.
The composite nasal septal graft has been used successfully by us to reconstruct patients with high tracheal and laryngotracheal stenosis. We have treated ten patients and have been able to decannulate seven of these patients. When these ten cases are added to the six original cases presented in an earlier report (1981), certain conclusions can be drawn. The success or failure of these procedures, which is judged by the ability to decannulate the patient, appears to be related to the extent of the initial injury. We discuss the indications for the composite nasal septal graft and the use of additional treatment, including stents, steroid injections, dilatations, and flaps. In conclusion, the addition of these ten cases to the original six cases of composite nasal septal grafts now provides the opportunity to review indications and contraindications for the use of this graft in the management of advanced laryngotracheal stenosis.
我们已成功使用复合鼻中隔移植物来重建患有高位气管及喉气管狭窄的患者。我们治疗了10例患者，其中7例已能拔管。将这10例病例与早期报告（1981年）中呈现的6例原始病例相加后，可以得出某些结论。这些手术的成功或失败，以患者能否拔管来判断，似乎与初始损伤的程度有关。我们讨论了复合鼻中隔移植物的适应证以及包括支架、类固醇注射、扩张和皮瓣在内的其他治疗方法的使用。总之，将这10例病例加入原始的6例复合鼻中隔移植物病例中，现在有机会重新审视该移植物在晚期喉气管狭窄治疗中的适应证和禁忌证。
