Treatment of laryngotracheal stenosis in children by internal/external cervical approach anterior/posterior split of cricoid cartilage combined with autologous costal cartilage transplantation and T-tube implantation
10.16066/j.1672-7002.2024.05.011
- VernacularTitle:颈内/颈外入路环状软骨前/后裂开自体肋软骨移植联合T管植入治疗儿童喉气管狭窄
- Author:
Hongbin LI
1
;
Guixiang WANG
;
Jing ZHAO
;
Hua WANG
;
Qingchuan DUAN
;
Fengzhen ZHANG
;
Xin NI
;
Jie ZHANG
Author Information
1. 国家儿童医学中心(北京),首都医科大学附属北京儿童医院耳鼻咽喉头颈外科,儿童耳鼻咽喉头颈外科疾病北京市重点实验室,北京 100045
- Keywords:
Child;
Tracheal Stenosis;
Cricoid Cartilage;
Costal Cartilage;
Transplantation;
Larynx
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(5):321-325
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the therapeutic effect of autologous costal cartilage transplantation with anterior/posterior split of cricoid cartilage on laryngotracheal stenosis in children.METHODS A retrospective analysis of 12 cases of laryngotracheal stenosis in children treated with anterior/posterior split of cricoid cartilage combined with T-tube implantation in Beijing Children's Hospital Affiliated to Capital Medical University in recent years.There were 5 males and 7 females,aged from 2 years and 6 months to 16 years and 9 months,with an average age of 8 years and 9 months.There were 2 cases of grade Ⅱ stenosis,9 cases of grade Ⅲ stenosis and 1 case of grade Ⅳ stenosis.All cases underwent tracheotomy before operation.The course of disease ranged from 4 months to 6 years,with an average of 3 years.RESULTS Of the 12 patients,10(83.3％)were cured,and the tracheotomy cannula was successfully removed to restore normal breathing and pronunciation function.There were 2 cases of extubation failure,including 1 case of grade Ⅲ stenosis and 1 case of grade Ⅳ stenosis.CONCLUSION The etiology of laryngotracheal stenosis in children is complex and difficult to treat.Anterior/posterior split costal cartilage transplantation combined with T-tube implantation through internal/external cervical approach can achieve good therapeutic effect in the treatment of laryngotracheal stenosis in children.
