Pediatric airway reconstruction at Great Ormond Street: a ten-year review. II. Revisional airway reconstruction

One hundred eight consecutive patients with pediatric laryngotracheal stenosis requiring airway reconstruction over a 10-year period were reviewed. Thirty-two patients required revisional airway reconstruction in an attempt to achieve decannulation. Patients underwent from one to four revisional air...

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Bibliographic Details
Published inAnnals of otology, rhinology & laryngology Vol. 101; no. 7; p. 595
Main Authors Ochi, J W, Evans, J N, Bailey, C M
Format Journal Article
LanguageEnglish
Published United States 01.07.1992
Subjects
Child
Humans
Laryngostenosis - complications
Laryngostenosis - surgery
Reoperation
Retrospective Studies
Tracheal Stenosis - complications
Tracheal Stenosis - surgery
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Summary:One hundred eight consecutive patients with pediatric laryngotracheal stenosis requiring airway reconstruction over a 10-year period were reviewed. Thirty-two patients required revisional airway reconstruction in an attempt to achieve decannulation. Patients underwent from one to four revisional airway reconstructions, most often laryngotracheal reconstruction with costal cartilage grafting. In the Cotton grading scheme of preoperative stenosis, those patients requiring revisional airway surgery tended to come from the more severely affected categories. Twenty-two patients of 32 (69%) achieved decannulation with revisional airway reconstruction. Thus, revisional airway reconstruction is indicated if the first attempt fails.
ISSN:0003-4894
DOI:10.1177/000348949210100709