Update on the use of Auricular Cartilage in Laryngotracheal Reconstruction
Update on the use of Auricular Cartilage in Laryngotracheal Reconstruction
复制标题
耳软骨在喉气管重建中的应用最新进展
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
H. Muntz
中科院分区：
文献类型：
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作者：
Andrew B. Silva;R. Lusk;H. Muntz
小儿耳鼻喉科医生经常被要求帮助诊断和处理声门下狭窄。这篇报告包含了我们在喉气管重建中使用耳软骨的最新经验。对圣刘易斯儿童医院的医疗记录进行回顾性审查，确定了43名患有声门下狭窄的儿童。31名儿童采用耳软骨治疗，成功率为84%，翻修手术后的总成功率为94%。8名儿童，其中前环状软骨分裂最初失败的第二次治疗与耳软骨的成功率为75%。两名最初接受肋软骨治疗的儿童接受了多次耳软骨或肋软骨重建手术，总体成功率为50%。其余2例为长段气管狭窄，采用耳软骨修复，成功率为50%。我们发现耳软骨移植物在i级或ii级狭窄的儿童中用于一期手术时非常有效。我们在iii级狭窄患者中使用耳软骨的成功率有限，并且不愿意将其用于iv级狭窄、长段气管狭窄、分期重建或耳或肋软骨移植物喉气管重建的翻修。
The pediatric otolaryngologist is often called upon to aid in the diagnosis and management of subglottic stenosis. This report contains an update of our experience using auricular cartilage in laryngotracheal reconstruction. a retrospective review of the medical records at St Louis Children's Hospital identified 43 children with subglottic stenosis. Thirty-one children were treated by use of auricular cartilage with a success rate of 84%, and an overall 94% success rate after revision surgery. Eight children in whom an anterior cricoid split initially failed were secondarily treated with auricular cartilage with a success rate of 75%. Two children initially treated with costochondral cartilage underwent multiple reconstructive procedures with either auricular cartilage or costochondral cartilage with an overall success rate of 50%. The remaining 2 children had long-segment tracheal stenosis and underwent repair with auricular cartilage with a 50% success rate. We find that auricular cartilage grafts are highly effective when used in a primary single-stage procedure in children with grade i or ii stenosis. We have had limited success with auricular cartilage in patients with grade iii stenosis and are reluctant to use it in grade iv stenosis, long-segment tracheal stenosis, staged reconstruction, or revision of an auricular or costal cartilage graft laryngotracheal reconstruction.