Cotton R T, Gray S D, Miller R P
Department of Otolaryngology and Maxillofacial Surgery, Children's Hospital Medical Center, Cincinnati, OH 45229.
Laryngoscope. 1989 Nov;99(11):1111-6. doi: 10.1288/00005537-198911000-00002.
Surgical endeavors in the field of laryngotracheal reconstruction in children have received much interest in the past 15 years. A unique experience with laryngotracheal reconstruction in 203 children is reviewed. The majority (194) of the cases were classified as acquired; only nine were classified as congenital. Excluded from the study were those cases of stenoses managed endoscopically, all resections and end-to-end anastomoses, all anterior cricoid split procedures, and all cases of anterior glottic stenosis repaired by a laryngeal keel. The degree of stenosis was graded into four categories. Five different methods of laryngotracheal reconstruction were used depending on the pathologic lesion in the larynx and trachea. Of the 203 children, 186 (92%) were decannulated. The results support the use of laryngotracheal reconstruction in children with grades 2, 3, and 4 laryngeal stenosis.
在过去15年里，儿童喉气管重建领域的外科手术备受关注。本文回顾了203例儿童喉气管重建的独特经验。大多数（194例）病例被归类为后天性；只有9例被归类为先天性。本研究排除了那些通过内镜处理的狭窄病例、所有切除和端端吻合术、所有环状软骨前部劈开手术以及所有通过喉支架修复的声门前部狭窄病例。狭窄程度分为四类。根据喉和气管的病理病变，采用了五种不同的喉气管重建方法。203例儿童中，186例（92%）拔管。这些结果支持对2级、3级和4级喉狭窄儿童采用喉气管重建术。
