Berkovits R N, van der Schans E J, Molenaar J C
Prog Pediatr Surg. 1987;21:20-8. doi: 10.1007/978-3-642-71665-2_3.
Congenital cricoid stenosis is a rare malformation generally diagnosed at autopsy. Out of a total of fourteen cases reported by others, only five were treated successfully. Over a 10-year period, seven patients presented with congenital cricoid stenosis at the Sophia Children's Hospital in Rotterdam. On the basis of these numbers we surmise that this anomaly is less rare than is commonly thought. All seven patients were treated successfully. A new method of treatment is described, consisting of a combination of microsurgical laryngofissure and prolonged intubation with a new, low-friction, atoxic, soft, silicone rubber nasotracheal tube. The specially designed intubation material is also recommended for the treatment of iatrogenically damaged airways. The results indicate that this method constitutes a major advance not only in the treatment of cricoid stenosis but also in the treatment of damaged airways.
先天性环状软骨狭窄是一种罕见的畸形，通常在尸检时才得以诊断。在其他文献报道的总共14例病例中，只有5例得到成功治疗。在10年的时间里，鹿特丹索菲亚儿童医院有7名患者被诊断为先天性环状软骨狭窄。基于这些病例数量，我们推测这种异常情况并不像人们普遍认为的那样罕见。这7名患者均得到成功治疗。本文描述了一种新的治疗方法，该方法将显微外科喉裂开术与使用一种新型、低摩擦、无毒、柔软的硅橡胶鼻气管导管进行长时间插管相结合。这种专门设计的插管材料也推荐用于治疗医源性气道损伤。结果表明，该方法不仅在环状软骨狭窄的治疗方面，而且在气道损伤的治疗方面都取得了重大进展。
