Kotton B, Kalish P
S Afr Med J. 1976 May 29;50(23):885-9.
A Silastic prosthesis anchored to a tracheostomy tube was used in the treatment of 5 children with subglottic stenosis. It did not cause any significant tissue reaction and obviated the problems of transfixion sutures. We treated 3 children successfully. Another died from complications owing to the tracheostomy. In the fifth patient the prosthesis was replaced by a Silastic T-tube. The use of the Silastic prosthesis is advocated for tough, dilatable laryngeal strictures, for which a T-tube is unsuitable. The advantages, disadvantages, method of manufacture and technique of insertion are discussed.
一种固定在气管造口管上的硅橡胶假体被用于治疗5例声门下狭窄患儿。它未引起任何明显的组织反应，避免了贯穿缝合的问题。我们成功治疗了3例患儿。另一例死于气管造口术的并发症。在第5例患者中，假体被硅橡胶T形管取代。对于坚韧、可扩张的喉部狭窄，T形管不适用，因此提倡使用硅橡胶假体。文中讨论了其优缺点、制作方法及插入技术。
