Narne S
Servizio di Endoscopia di Urgenza, Università di Padova.
Acta Otorhinolaryngol Ital. 1997 Jun;17(3):169-74.
The diagnosis and treatment of infants and children with laryngo-tracheal pathology has changed substantially over the last 20 years. The change is the result of the continued evolution of diagnostic instruments, surgical techniques and new advancements in critical care medicine. Abnormalities in the development of the larynx may lead to congenital subglottic stenosis. A variety of pathogenic processes, either inflammatory or iatrogenic, also may damage the cricoid cartilage and lead to subglottic stenosis. The stenosis may involve alone or in combination the subglottis, glottis, upper cervical trachea. In this article the author reports a 12 years experience in 114 patients affected by benign laryngo-tracheal stenosis. These patients are classified in two groups: 1) 75 patients with congenital stenosis, 2) 39 patients with acquired stenosis. For the diagnose video-endoscopy has been used, and for the classification the Cotton's technique has been used. To get the best results in this pathology it is very important to have a multidisciplinary approach.
在过去20年里，婴幼儿喉气管疾病的诊断和治疗发生了显著变化。这种变化是诊断仪器不断发展、手术技术以及重症医学新进展的结果。喉部发育异常可能导致先天性声门下狭窄。各种致病过程，无论是炎症性还是医源性的，也可能损伤环状软骨并导致声门下狭窄。狭窄可能单独或联合累及声门下、声门、颈段气管上段。在本文中，作者报告了114例良性喉气管狭窄患者的12年治疗经验。这些患者分为两组：1）75例先天性狭窄患者，2）39例后天性狭窄患者。诊断采用了视频内镜检查，分类采用了科顿（Cotton）技术。要在这种疾病的治疗中取得最佳效果，多学科方法非常重要。
