[Reconstructive surgery in laryngostenosis in children]

Methods of laryngoplasty with usage of costal cartilage autotransplant and segmental laryngeal resection were applied in 33 patients with laryngostenosis of various etiology. Decannulation of the patients during the first 4 months after beginning of the treatment was made in 75% patients with one-stage laryngoplasty. A new method of stenting in reconstructive operations on the larynx is proposed. The endolumen technique of silicon stent fixation isolated from tracheostome cannula is thought an optimal method of stenting. Surgery is optimal early after verification of the diagnosis. Early operations make it possible to optimize prognosis of one-stage treatment as they reduce the number of complications after long-term carrying of tracheostomic cannula as well as provide better socio-psychological adaptation of the patients.

PMID: 16034339 [PubMed - indexed for MEDLINE]