Cotton R T, Myer C M, O'Connor D M, Smith M E
Department of Pediatric Otolaryngology, Children's Hospital Medical Center, University of Cincinnati School of Medicine, OH 45229, USA.
Laryngoscope. 1995 Aug;105(8 Pt 1):818-21. doi: 10.1288/00005537-199508000-00009.
Laryngotracheal reconstruction (LTR) comprises five stages: 1, characterization of the stenosis; 2, expansion of the lumen; 3, stabilization of the enlarged lumen framework; 4, healing of the surgical site; and 5, decannulation. Single-stage LTR (SS-LTR) combines and compresses stages 3 through 5 (stabilization, healing, and decannulation) into a brief period of postoperative intubation. At Children's Hospital Medical Center in Cincinnati, Ohio, from January 1987 to December 1993, 116 reconstructive procedures were performed by using postoperative intubation. Nine were tracheoplasty or stoma-revision procedures in isolation, leaving 107 SS-LTR procedures that included the laryngotracheal complex. The use of SS-LTR has increased to 30% of LTRs performed in 1993. Data are presented on the success of SS-LTR as measured by the number of decannulations and extubations achieved.
喉气管重建术（LTR）包括五个阶段：1. 狭窄的特征描述；2. 管腔扩张；3. 扩大管腔框架的稳定；4. 手术部位愈合；5. 拔管。单阶段喉气管重建术（SS-LTR）将第3至5阶段（稳定、愈合和拔管）合并并压缩为术后短暂的插管期。在俄亥俄州辛辛那提市的儿童医院医疗中心，从1987年1月至1993年12月，采用术后插管进行了116例重建手术。其中9例为单独的气管成形术或造口修复手术，其余107例SS-LTR手术涉及喉气管复合体。1993年，SS-LTR的使用量已增至喉气管重建术的30%。文中给出了以成功拔管和脱机数量衡量的SS-LTR的成功率数据。
