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儿童获得性声门下狭窄的内镜治疗:成功的预测因素。

Endoscopic treatment of acquired subglottic stenosis in children: Predictors of success.

作者信息

Cuestas Giselle, Rodríguez Verónica, Doormann Flavia, Bellia Munzón Patricio, Bellia Munzón Gastón

机构信息

Sección de Endoscopia Respiratoria, División de Otorrinolaringología, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.

Servicio de Cirugía, Hospital General de Niños "Dr. Pedro de Elizalde", Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2018 Dec 1;116(6):418-425. doi: 10.5546/aap.2018.eng.422.

Abstract

Subglottic stenosis is a congenital or acquired disease characterized by the narrowing of the airways, from the vocal cords to the lower border of the cricoid cartilage. It is one of the main causes of stridor and respiratory distress in children. More than 90 % of laryngeal stenoses are acquired due to prolonged endotracheal intubation. The pediatric management of subglottic stenosis is complex and may be affected by different factors that have an impact on the final outcome. Treatment may involve endoscopic procedures and/or open surgeries. Here we describe our experience in 35 patients with acquired subglottic stenosis who underwent endoscopic treatment with rigid dilation and identify the potential predictors of success of this technique.

摘要

声门下狭窄是一种先天性或后天性疾病,其特征是从声带至环状软骨下缘的气道变窄。它是儿童喘鸣和呼吸窘迫的主要原因之一。超过90%的喉狭窄是由于长期气管插管所致。声门下狭窄的儿科治疗较为复杂,可能会受到不同因素的影响,这些因素会对最终结果产生影响。治疗可能包括内镜手术和/或开放性手术。在此,我们描述了35例接受硬质扩张内镜治疗的后天性声门下狭窄患者的治疗经验,并确定了该技术成功的潜在预测因素。

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