Laryngo-tracheoplasty
Laryngo-tracheoplasty
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喉气管成形术
DOI：
10.1017/s0022215100079147
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发表时间：
1974
影响因子：
1.7
通讯作者：
J. N. G. Evans
中科院分区：
文献类型：
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作者：
J. N. G. Evans
在过去的一年里，五个病人的气管造口术，这是必要的，因为严重声门下狭窄，已成功拔管后，一种新的技术喉气管成形术。迄今为止的结果是如此令人鼓舞，我们认为这份初步报告是有道理的。婴儿和儿童气管造口术的管理存在两个主要问题。第一，是治疗潜在的病理状况，第二，延长住院时间。如果病人在家里照顾，对父母造成的压力可能会带来许多困难。在这个系列的儿童都有声门下狭窄，这是足够严重，需要气管造口术的前9个月的生活。我们的政策是首先保守治疗所有声门下狭窄的患者，一般来说，只有在几个月后气道没有改善时才考虑手术治疗。据说大多数声门下狭窄的患者最终会随着时间的推移而消失，但不幸的是，这不是我们的经验。事实上，长期使用气管切开插管的并发症本身可能是严重的（Cundy和Bergstrom，
Introduction Ix the past year, five patients with tracheostomies, which were necessary because of severe subglottic stenosis, have been successfully decannulated following a new technique of laryngo-tracheoplasty. The results to date have been so encouraging that we felt this preliminary report justified. The management of infants and children with tracheostomies presents two main problems. First, there is the treatment of the underlying pathological condition, and second, the prolonged hospitalization. If the patient is cared for at home, the resulting strain on the parents may present many difficulties. The children in this series all had subglottic stenosis which was sufficiently severe to require a tracheostomy within the first nine months of life. It is our policy to treat all patients with subglottic stenosis conservatively in the first instance, and, in general, surgical treatment is only considered if no improvement in the airway is noted after a period of several months. It is said that most patients with subglottic stenosis will eventually grow out of it with the passage of time, but unfortunately this has not been our experience. Indeed, the complications of prolonged use of tracheostomy tubes may themselves be serious (Cundy and Bergstrom,