Holinger L D
Ann Otol Rhinol Laryngol. 1982 Jul-Aug;91(4 Pt 1):407-12. doi: 10.1177/000348948209100418.
Subglottic stenosis in neonates, infants and children is one of the most challenging problems confronting the pediatric otolaryngologist today. Small patients with congenital or acquired stenosis were enough to require tracheotomy must undergo repeated endoscopic procedures or laryngotracheal reconstruction; weeks, months, or years may be required to attain a lumen large enough to permit decannulation. During 1981, six infants and children with severe subglottic stenosis were managed without tracheotomy. The surgical technique employed involves endoscopic excision of the offending subglottic tissue using the CO2 laser and suspension microlaryngoscopy. Intraoperative intubation is avoided by using an insufflation technique for general anesthesia which permits unobstructed visualization of the larynx, thereby avoiding laryngeal trauma and edema.
新生儿、婴幼儿和儿童的声门下狭窄是当今儿科耳鼻喉科医生面临的最具挑战性的问题之一。患有先天性或后天性狭窄且狭窄程度严重到必须进行气管切开术的小患儿，必须接受反复的内镜手术或喉气管重建手术；可能需要数周、数月或数年时间才能使气道腔足够大，从而可以拔管。1981年期间，6名患有严重声门下狭窄的婴幼儿和儿童在未进行气管切开术的情况下得到了治疗。所采用的手术技术包括使用二氧化碳激光和悬吊式显微喉镜对引起问题的声门下组织进行内镜切除。通过使用一种用于全身麻醉的吹入技术来避免术中插管，该技术可使喉部视野不受阻碍，从而避免喉部创伤和水肿。
