Surgical Correction of Subglottic Stenosis of the Larynx in Infants and Children; Progress Report
Surgical Correction of Subglottic Stenosis of the Larynx in Infants and Children; Progress Report
复制标题
婴儿和儿童声门下狭窄的手术矫正；
DOI：
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发表时间：
1974
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：
B. Fearon;R. Cotton
对连续25例严重声门下狭窄的儿童和婴儿进行保守治疗的调查显示，死亡率出人意料地高达24%。一项在婴儿灵长类动物身上进行的为期三年的实验研究表明，在不干扰正常喉生长潜力的情况下，手术矫正声门下狭窄的可行性。两名患者的声门下狭窄的外科矫正的初步结果非常令人鼓舞。对于声门下狭窄的外科治疗，我们建议将环状软骨和上气管前部分离，植入自体软骨，不切除瘢痕组织，不使用喉内支架。
A survey of 25 consecutive cases of severe subglottic stenosis in children and infants, managed conservatively, revealed an unexpectedly high 24% mortality rate. A three year ongoing experimental study in infant primates indicated the feasibility of operative correction of subglottic stenosis without interference with usual laryngeal growth potentials. Initial results in the surgical correction of subglottic stenosis in two patients are very encouraging. For surgical correction of subglottic stenosis we recommend division of the cricoid and upper trachea anteriorly with interposition of autogenous cartilage, without removal of scar tissue, and without internal laryngeal stenting.