Berkowitz R G
Department of Otolaryngology, Royal Children's Hospital, Parkville, Victoria, Australia.
Aust N Z J Surg. 1995 Sep;65(9):650-3. doi: 10.1111/j.1445-2197.1995.tb00674.x.
A retrospective study was carried out to evaluate the outcome following laryngotracheal reconstruction (LTR) performed in 15 children for the treatment of severe laryngotracheal stenosis between 1989 and 1993. The age ranged from 18 months to 19 years with all but one patient being tracheostomy-dependent. The tracheostomy tube was successfully removed in 12 children who remain free of obstructive symptoms at follow up. One patient was successfully decannulated but required repeat tracheostomy 8 months later for intermittent severe supraglottic/pharyngeal obstruction. There were two failures, with one of these undergoing repeat LTR with successful decannulation. Surgery was complicated in one child by aspiration which improved spontaneously. These findings suggest that LTR is a safe and effective procedure for the management of severe paediatric laryngotracheal stenosis.
开展了一项回顾性研究，以评估1989年至1993年间对15名儿童进行喉气管重建术（LTR）治疗严重喉气管狭窄后的结果。年龄范围为18个月至19岁，除1例患者外，所有患者均依赖气管切开术。12名儿童成功拔除气管切开管，随访时无阻塞症状。1例患者成功拔管，但8个月后因间歇性严重声门上/咽部阻塞需要再次进行气管切开术。有2例手术失败，其中1例接受了再次LTR并成功拔管。1名儿童手术出现误吸并发症，但自行好转。这些结果表明，LTR是治疗小儿严重喉气管狭窄的一种安全有效的方法。
