Contencin P, Fligny I, François M, Bobin S, Manach Y, Narcy P
Service ORL, Hôpital Robert-Debré, Faculté de Médecine Xavier-Bichat, Université Paris VII.
Ann Otolaryngol Chir Cervicofac. 1989;106(4):255-6; discussion 256-7.
This article constitutes a short review of the experience of the ENT service at the Hôpital Bretonneau, in Paris, with regards to laryngeal stenosis in children. Since 1974, 115 cases of severe stenosis have been operated on. 70 cases presented acquired lesions, primarily related to endotracheal intubation, while congenital malformations accounted for another 45 cases. 41% of the patients had stenosis that reduced the laryngeal lumen by 90%, or more. The different surgical approach (consisting in castellated incision of the anterior wall, or in anterior, or more rarely posterior, cartilage supplementation), as well as the various stenting methods used are briefly described and discussed.
本文简要回顾了巴黎布雷托诺医院耳鼻喉科在儿童喉狭窄治疗方面的经验。自1974年以来,已对115例严重狭窄病例进行了手术。70例为后天性病变,主要与气管插管有关,而先天性畸形占另外45例。41%的患者喉狭窄使喉腔缩小90%或更多。文中简要描述并讨论了不同的手术方法(包括前壁锯齿状切口、前部或更罕见的后部软骨补充)以及所使用的各种支架置入方法。