Duncavage J A, Koriwchak M J
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Otolaryngol Clin North Am. 1995 Aug;28(4):785-95.
Adult subglottic and proximal tracheal stenoses are some of the most crippling complications of endotracheal intubation or other laryngotracheal trauma. Subglottic stenoses are a part of the broader category of laryngotracheal stenoses that comprises any lesion from supraglottic larynx to trachea. Patients with laryngotracheal or tracheal stenosis may present with stridor, shortness of breath, or exercise intolerance and may be tracheotomy dependent. The surgeon must have several choices of procedures available to correctly treat the variety of lesions that may occur. This article briefly outlines the pathophysiology of subglottic and tracheal stenosis and discusses in detail the open procedures available.
成人声门下及气管近端狭窄是气管插管或其他喉气管创伤最严重的并发症之一。声门下狭窄是喉气管狭窄这一广泛范畴的一部分，喉气管狭窄包括从声门上喉到气管的任何病变。喉气管或气管狭窄患者可能出现喘鸣、呼吸急促或运动不耐受，可能依赖气管切开术。外科医生必须有多种手术选择，以便正确治疗可能出现的各种病变。本文简要概述声门下和气管狭窄的病理生理学，并详细讨论可用的开放手术。
