Korean Journal of Bronchoesophagology (대한기관식도과학회지)
- Volume 7 Issue 1
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- Pages.40-45
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- 2001
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- 1226-0916(pISSN)
4 cases of laryngotracheal stenosis treated with end-to-end anastomosis
단단문합술로 치료한 후두기관 협착 4례
-
Tae, Kyung
(Department of Otolaryngology, College of Medicine, Hanyang University)
;
- Hong, Dong-Kyun (Department of Otolaryngology, College of Medicine, Hanyang University) ;
- Lee, Hyung-Seok (Department of Otolaryngology, College of Medicine, Hanyang University) ;
- Park, Chul-Won (Department of Otolaryngology, College of Medicine, Hanyang University)
-
태경
(한양대학교 의과대학 이비인후과학교실)
;
- 홍동균 (한양대학교 의과대학 이비인후과학교실) ;
- 이형석 (한양대학교 의과대학 이비인후과학교실) ;
- 박철원 (한양대학교 의과대학 이비인후과학교실)
- Published : 2001.06.01
Abstract
Management of laryngotracheal stenosis remains one of the most challenging problems facing the otolaryngologist. The key to success is to obtain adequate rigid circular support with normal mucosal lining. Four Patients with laryngotracheal stenosis were surgically treated in our institution in 2000. All the patients were male adults. The cause of stenosis were longterm or repeated endotracheal intubation and tracheostomy in our patients. All patients were successfully decannulated following segmental resection of the stenotic portion including the anterior arch of the cricoid cartilage and end-to-end anastomosis after suprahyoid laryngeal release. The time between treatment and decannulation was just one day in three patients. These results suggest the Possibility of early decannulation even if the cricoid cartilage was partially resected. It is better to prevent laryngotracheal stenosis rather than to treat it once it has occurred.