Pradipta Kumar Parida1, Ashok Kumar Gupta. 1. Department of Otorhinolaryngology and Head-Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Abstract
OBJECTIVE: To describe our experience in the management of laryngotracheal stenosis (LTS). STUDY DESIGN: Prospective study. MATERIALS AND METHODS: This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination. RESULTS: There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis. CONCLUSION: Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.
OBJECTIVE: To describe our experience in the management of laryngotracheal stenosis (LTS). STUDY DESIGN: Prospective study. MATERIALS AND METHODS: This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination. RESULTS: There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis. CONCLUSION:Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.
Authors: Ph Monnier; F G Dikkers; H Eckel; C Sittel; C Piazza; G Campos; M Remacle; G Peretti Journal: Eur Arch Otorhinolaryngol Date: 2015-05-08 Impact factor: 2.503
Authors: Neha Shakrawal; Sourabha K Patro; Kapil Soni; Darwin Kaushal; Bikram Choudhury; Amit Goyal Journal: Indian J Otolaryngol Head Neck Surg Date: 2021-09-01