Axon P R, Hartley C, Rothera M P
Department of Otolaryngology, Royal Manchester Children's Hospital, University of Manchester, UK.
J Laryngol Otol. 1995 Sep;109(9):876-9. doi: 10.1017/s0022215100131561.
Children with subglottic stenosis present a challenging problem to otolaryngologists. In many cases, a tracheostomy is necessary to safeguard the airway, but morbidity and mortality in the tracheostomized child may be significant. Therefore attempts to improve the airway by endoscopic means are often made; unfortunately, these have a variable success rate. Recent encouraging results in the use of balloon dilatation for subglottic stenosis led us to the successful use of this technique in a child whose stenosis had not responded to conventional endoscopic techniques. The reasons for the success are discussed.
声门下狭窄的儿童给耳鼻喉科医生带来了一个具有挑战性的问题。在许多情况下,为保护气道进行气管造口术是必要的,但气管造口儿童的发病率和死亡率可能很高。因此,人们常常试图通过内镜手段改善气道;不幸的是,这些方法的成功率各不相同。最近在使用球囊扩张治疗声门下狭窄方面取得的令人鼓舞的结果,促使我们成功地将该技术应用于一名对传统内镜技术无反应的狭窄患儿。文中讨论了成功的原因。