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Erschienen in:
19.09.2023 | Laryngology
T-tube implantation combined with cricoid cartilage reconstruction in the treatment of congenital laryngeal webs with subglottic stenosis
Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 12/2023
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Objective
To discuss the presentation, evaluation, and management of congenital laryngeal webs with subglottic stenosis.
Methods
The clinical data of six children were retrospectively analyzed.
Results
The median age of these children who came to our hospital was 14 months (range 1–26 months). A tracheotomy was performed in all these six children. The median age of the patients who underwent tracheotomy was 4 months (range 1–11 months). The surgical method was T-tube implantation combined with cricoid cartilage reconstruction. The median age of these patients at the time of operation was 22 months (range 13–35 months). The T-tube remained in place for 3–8 months, with a median time of 6 months. The tracheal tubes in all these children were successfully removed. All patients were followed up for more than 2 years without recurrence.
Conclusions
Children who have congenital laryngeal webs with subglottic stenosis required early tracheotomy. Open laryngoplasty combined with T-tube implantation and cricoid cartilage reconstruction may play a crucial role in the treatment of these children.