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PubMed1968

Laryngeal trauma.

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Accidents↗
PubMed1975

Triamcinolone acetonide injection for laryngeal stenosis.

Three cases with acquired laryngeal stenosis have been presented. They were treated by percutaneous intralesional injection of triamcinolone acetonide using mirror laryngoscopy. The laryngeal airway and the phonation have been satisfactory for a period of two to six years of close follow-up.

Adult↗
PubMed1978

Epidermolysis bullosa and its E.N.T. manifestations. Two case reports.

The present paper describes two rare cases of epidermolysis bullosa dystrophica (recessive), one with oesophageal stricture and another with laryngeal stenosis, along with other usual features of the disease. Different views on the line of treatment of the oesophageal stricture as a complication of this dreadful disease are discussed. Replacement of the strictured oesophagus by coloplasty may be contemplated in the first case, if the patient develops increasing dysphagia. In the second case, with cicatrical stenosis of the larynx and hoarseness of voice which is a rare complication of the disease, not reported in the literature so far, a tracheostomy is contemplated when the child develops acute respiratory distress. These two cases are under observation.

Adult↗
PubMed1979

Combined treatment of concurrent laryngeal and tracheal stenosis.

This report describes a one-stage combined surgical procedure for laryngeal and tracheal stenosis presenting concurrently. The technique links together three new procedures. Autogenous hyoid bone transposition on a muscle pedicle for reconstruction of the larynx, together with implantation of a silicone T-tube in conjunction with a custom-carved silicone stent, for maintenance and resurfacing of both strictures. This technique has produced satisfactory results in four cases. In two of the patients there is sufficient follow-up to indicate the efficacy of this method.

Humans↗
PubMed1979

Chronic stenosis of the larynx in children.

Severe laryngeal stenosis in children can be corrected successfully with surgery. Re-canalization of the larynx allows for nasal respiration, reduces the danger of respiratory infections, contributes to improved tissue oxygenation, and stimulates the child's psychosomatic development. Contrary to prior otolarngeal approaches to laryngeal stenosis in children, it has been shown that surgery does not hinder the growth of the larynx, but rather stimulates the normalization of laryngeal function; and this function itself stimulates laryngeal skeleton. It is important that surgery be performed as soon as possible in order to avoid an erroneous functional mechanism which is difficult to correct later. This can also lead to chronic irreversible atrophic and fibrotic processes in the laryngeal mucosa.

Adolescent↗
PubMed1981

Surgical treatment of acquired subglottic stenosis.

Seven patients with severe acquired glottic-subglottic stenosis were treated surgically, some of them by the augmentation principle and other by resection. The surgical results are reported and although only 50 per cent could be decannulated it was evident, at the end of a minimum follow-up period of 4 years, that the physical, mental, and social handicaps suffered by a child permanently wearing a cannula are so great that a very active surgical attitude to the problems of laryngeal stenosis is required.

Adolescent↗
PubMed1981

Surgical management of cicatricial post-scleromatous sub-glottic stenosis.

In Egypt, sub-glottic stenosis is commonly caused by scleromatous affection. The countries in which scleroma is endemic have been reviewed. The incidence of scleroma, laryngeal scleroma, and sub-glottic affection, and their sex ratios have been discussed. Radiological study of the sub-glottic extension has been done. The operative procedures are detailed and the results are presented. The use of the Montgomery T-tube is an essential part of all these operations. The excision of scar tissue from the sub-glottic region was done in children, and this accords with recent trends. Twenty cases have been operated upon, with airway improvement in all of them.

Adolescent↗
PubMed1982

Repair of a subglottic stenosis by submucosal resection.

A subglottic, intralaryngeal stenosis in a 5-year-old boy was successfully removed by microsurgical submucosal resection. The method reported provides adequate subglottic augmentation and interferes with the laryngeal cartilage only minimally. The use of small split-thickness skin grafts for lining material is advocated, as they take immediately and reduce the time for stenting. At followup, no recurrent stenosis has developed and the site of the skin grafts has been lined with ciliated mucosa. Post-operative hospitalization was considered to be acceptably short.

Child, Preschool↗