RT Journal Article
T1 Laryngeal stenosis in children: Types, grades and treatment strategies
A1 Redondo Sedano, Jesús
A1 Antón-Pacheco Sánchez, Juan Luis
A1 Morante Valverde, Rocío
A1 López Díaz, María
A1 Luna Paredes, María Carmen
A1 Melero Guardia, Leonor
A1 Martín Alelu, Rubén
A1 Jiménez Huerta, Ignacio
A1 Benavent Gordo, María Isabel
A1 Gómez Fraile, Andrés
AB Introduction: Laryngeal stenosis is infrequent in children and usually secondary to endotracheal intubation. The aims of this study were to review the outcomes of the distinct endoscopic and surgical procedures and to suggest a technical modification for one of them.Methods: Retrospective review of patients with the diagnosis of laryngeal stenosis treated in an academic tertiary care institution between 2000 and 2017. The following variables were analyzed: demographic data, endoscopic findings including anatomic type and severity of the lesion, associated anomalies, type of treatment, outcomes, and time of follow-up.Results: Seventy-eight children were included in the study (39 boys) with a median age at diagnosis of 9 months, and 33 (42.3%) showed an associated anomaly. Lesions were acquired in 84.6% of cases and the subglottic region was most frequently involved (77%). Thirty patients (38.4%) had a severe stenosis (Myer-Cotton grades III and IV) and a tracheotomy was performed as an initial treatment in 38 patients (48.7%). Overall, 91% of endoscopically or surgically treated patients showed a good outcome and the decannulation rate in the series was 79.4%. Fourteen patients were managed conservatively. Median follow-up was 29 months (I.R. 10-60 m.) CONCLUSIONS: Laryngeal stenosis in children is usually acquired and exhibit a wide range of anatomic presentations. Endoscopic therapeutic procedures may be useful in the management of low grade immature stenosis. Reconstructive surgical techniques may provide a high success rate with an appropriate selection of candidates.
PB Elsevier
SN 0022-3468
YR 2018
FD 2018-09-27
LK https://hdl.handle.net/20.500.14352/113726
UL https://hdl.handle.net/20.500.14352/113726
LA eng
NO Redondo-Sedano J, Antón-Pacheco JL, Valverde RM, Díaz ML, Paredes CL, Guardia LM, Alelu RM, Huerta IJ, Gordo MIB, Fraile AG. Laryngeal stenosis in children: Types, grades and treatment strategies. J Pediatr Surg. 2019 Sep;54(9):1933-1937. doi: 10.1016/j.jpedsurg.2018.09.027. Epub 2018 Nov 6. PMID: 30503025.
DS Docta Complutense
RD 6 abr 2025