Manning Amy, Wehrmann Daniel J, Hart Catherine K, Green Glenn E
Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC 2018, Cincinnati, OH 45229, USA.
Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, University of Michigan, CW-5702 (SPC 4241), 1540 East Hospital Drive, Ann Arbor, MI 48109-4241, USA.
Otolaryngol Clin North Am. 2019 Oct;52(5):923-936. doi: 10.1016/j.otc.2019.06.005. Epub 2019 Jul 15.
The management of pediatric airway stenosis has evolved considerably over time. At the outset, dilation was the mainstay of management. In the 1900s, open surgery in the form of cricoid expansion procedures or resection procedures was the primary treatment with subsequent development of the slide tracheoplasty. Now in the twenty-first century, advances in endoscopic management, balloon dilation, and stenting, along with the advent of external scaffolds and tissue replacement continue to advance pediatric airway surgery.
随着时间的推移，小儿气道狭窄的管理方法有了很大的发展。一开始，扩张是主要的管理手段。在20世纪，环状软骨扩张术或切除术等开放手术是主要治疗方法，随后出现了滑动气管成形术。如今在21世纪，内镜管理、球囊扩张和支架置入技术的进步，以及外部支架和组织替代物的出现，继续推动着小儿气道手术的发展。
