TUBELESS LARYNGOTRACHEAL SURGERY IN INFANTS AND CHILDREN VIA JET VENTILATION LARYNGOSCOPE

We present the first use of tubeless superimposed combined high- and l ow-frequency jet ventilation (SHFJV) with a jet laryngoscope in laryng otracheal surgery in infants and children. Twenty-eight patients under went 53 operative procedures. The average age of the patients was 7.3 years. The most common diagnoses were laryngeal papillomatosis and sub glottic stenosis. The duration of jet ventilation averaged 33 min. The gas exchange was sufficient in each case. The advantages of SHFJV in the surgery of the laryngotracheal area in infants and children are op timal view at the larynx and trachea, maximum space for the handling, application of the laser without risks, no time limitation, suitabilit y for stenosis, and neither anesthetic nor surgical complications.