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Open paediatric laryngotracheal reconstruction: a five-year experience at a tertiary referral centre

Published online by Cambridge University Press:  21 January 2022

A ElSobki  and
N El-Kholy Open the ORCID record for N El-Kholy [Opens in a new window]
A ElSobki
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
N El-Kholy*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt
*
Author for correspondence: Dr N El-Kholy, Department of Otolaryngology – Head and Neck Surgery, Mansoura University Faculty of Medicine, Elgomhouria St., Mansoura 35516, Egypt E-mail: nohaaelkholy@gmail.com
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Abstract

Objective

Laryngotracheal reconstruction with costal cartilage graft is a cornerstone procedure in treatment of multiple paediatric airway pathologies. The current study aimed to report on the experience of laryngotracheal reconstruction and document post-operative outcomes and complications.

Method

Records of laryngotracheal reconstruction procedures performed between 2016 and 2020 were retrospectively reviewed. Primary indication, clinical data, decannulation rate, voice assessment, need for revision surgery and possible complications were analysed.

Results

A total of 41 patients were treated with laryngotracheal reconstruction. Subglottic stenosis formed the largest percentage of cases followed by congenital glottic web (20 and 14 patients, respectively). Three patients (7.3 per cent) underwent single stage surgery, and the remaining cases had a double stage procedure. Revision laryngotracheal reconstruction was needed in a single case, and 38 out of 39 tracheostomised patients were successfully decannulated.

Conclusion

Favourable outcomes were reported with costal cartilage laryngotracheal reconstruction as a definitive treatment for a large range of paediatric airway problems.

Keywords

LaryngotrachealLaryngeal WebSubglottic StenosisVocal Cord Paralysis
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 2 , February 2023 , pp. 192 - 199
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr N El-Kholy takes responsibility for the integrity of the content of the paper

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