Grillo H C
Ann Thorac Surg. 1982 Jan;33(1):3-18. doi: 10.1016/s0003-4975(10)63191-8.
Eighteen patients with low subglottic laryngeal stenosis and upper tracheal stenosis underwent resection of the anterior and lateral cricoid cartilage and upper trachea with reconstruction by primary laryngotracheal anastomosis. The posterior cricoid plate and recurrent laryngeal nerves were preserved. The distal trachea was tailored obliquely with an anterior prow and was anastomosed to the thyroid cartilage anteriorly and to the residual cricoid posteriorly. Where the stenosis was circumferential, scarred mucosa was resected from the anterior surface of the posterior cricoid lamina and the defect covered with a tailored flap of membranous tracheal wall. In 14 patients the lesions followed intubation injury. In 2 the stenosis was idiopathic. One stenosis resulted from inhalation burn and one from localized amyloidosis. Many patients had undergone previous surgical repairs. Sixteen patients had good to excellent results from six months to five and one-half years later. Reconstruction of the burned airway failed. One additional patient is still under treatment with a T tube.
18例声门下喉狭窄和上段气管狭窄患者接受了环状软骨前外侧及上段气管切除术，并通过一期喉气管吻合术进行重建。环状软骨后板和喉返神经得以保留。气管远端斜行修整成前突状，向前与甲状软骨、向后与残余环状软骨吻合。若狭窄为环状，则从环状软骨后板前表面切除瘢痕化黏膜，缺损处用修整后的气管膜壁瓣覆盖。14例患者的病变继发于插管损伤。2例狭窄为特发性。1例狭窄由吸入性烧伤导致，1例由局限性淀粉样变性导致。许多患者此前接受过手术修复。16例患者在术后6个月至5年半时取得了良好至极佳的效果。烧伤气道的重建失败。另有1例患者仍在使用T形管进行治疗。
