Gavilán J, Cerdeira M A, Toledano A
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, Madrid, Spain.
Ann Otol Rhinol Laryngol. 1998 Jul;107(7):588-92. doi: 10.1177/000348949810700708.
Management of laryngotracheal stenosis (LTS) remains one of the most challenging problems facing the otolaryngologist. The key to success is to obtain adequate rigid circular support with normal mucosal lining. Sixty patients with LTS were surgically treated in our institution over a 20-year period. Most patients were adults; the mean age was 29 years. There were 39 males and 21 females. The most frequent cause of stenosis was intubation, in 25 patients, and tracheostomy was the cause in 21. Forty-two patients (70%) were successfully decannulated following 117 procedures in this series. An average of 1.95 procedures per patient was performed. The median time between treatment and decannulation was 561 days. These results confirm the complexity of the management of LTS. Decannulation is not always possible, and to achieve this goal, more than one treatment is frequently required. It is better to prevent LTS rather than to treat it once it has occurred.
喉气管狭窄（LTS）的治疗仍然是耳鼻喉科医生面临的最具挑战性的问题之一。成功的关键是获得具有正常黏膜衬里的足够刚性环形支撑。在我们机构的20年期间，对60例LTS患者进行了手术治疗。大多数患者为成年人，平均年龄为29岁。男性39例，女性21例。狭窄最常见的原因是插管，25例患者是这种情况，气管切开术导致狭窄的有21例。在本系列中，42例患者（70%）在117次手术后成功拔管。每位患者平均进行了1.95次手术。治疗与拔管之间的中位时间为561天。这些结果证实了LTS治疗的复杂性。并非总是能够实现拔管，为了达到这一目标，通常需要不止一种治疗方法。预防LTS比在其发生后进行治疗更好。
