Management of Subglottic Stenosis in Infancy and Childhood
Management of Subglottic Stenosis in Infancy and Childhood
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婴儿期和儿童期声门下狭窄的治疗
DOI：
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发表时间：
1978
期刊：
影响因子：
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通讯作者：
R. Cotton
中科院分区：
文献类型：
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作者：
R. Cotton
婴儿期和儿童期继发气管插管的成熟声门下狭窄的处理仍然是一个有争议的问题。如果与先天性声门下狭窄类似，通过气管切开术和“等待观察”期进行治疗，那么获得性疾病的死亡率和发病率要比先天性疾病高得多。本文报道18例经手术重建的严重获得性声门下狭窄患儿；17例已成功拔管。最长的随访为5年半。没有明显的证据干扰喉部生长。
The management of mature subglottic stenosis secondary to endotracheal intubation in infancy and childhood remains a controversial issue. If treated similarly to congenital subglottic stenosis by tracheotomy and a “wait-and-see” period then there is a considerably higher mortality and morbidity for the acquired disease compared with the congenital. Eighteen children with severe acquired subglottic stenosis managed by surgical reconstruction are presented; 17 have been successfully extubated. The longest follow-up is 5½ years. No evidence of interference with laryngeal growth is evident.