IDIOPATHIC LARYNGOTRACHEAL STENOSIS AND ITS MANAGEMENT

Citation
Hc. Grillo et al., IDIOPATHIC LARYNGOTRACHEAL STENOSIS AND ITS MANAGEMENT, The Annals of thoracic surgery, 56(1), 1993, pp. 80-87
Citations number
21
Categorie Soggetti
Surgery
ISSN journal
00034975
Volume
56
Issue
1
Year of publication
1993
Pages
80 - 87
Database
ISI
SICI code
0003-4975(1993)56:1<80:ILSAIM>2.0.ZU;2-P
Abstract
We describe idiopathic laryngotracheal and upper tracheal stenosis in 49 patients with no other cause for their stenosis. Traumatic, iatroge nic, infectious, and specific inflammatory processes were excluded. Hi stopathologically dense fibrosis of keloidal type thickened the lamina propria and choked the ducts of mucous glands but did not destroy car tilage. Thirty-five patients were treated by single-stage resection an d reconstruction: 29 by laryngotracheal resection with laryngotracheop lasty and 6 by cricotracheal segmental resection. Thirty-two patients achieved good or excellent results in respiration and voice, 2 needed annual dilations, and 1 required permanent tracheostomy.