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http://dx.doi.org/10.22469/jkslp.2022.33.3.123

Management of Pediatric Laryngotracheal Stenosis  

Yoon Se, Lee (Department of Otolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics / v.33, no.3, 2022 , pp. 123-129 More about this Journal
Abstract
Pediatric laryngotracheal stenosis occurs by either congenital or acquired causes and usually indicates subglottic stenosis. The main goals of treatment are decannulation, preserving phonation, and normal swallowing function. Various types and degrees of stenosis and combined anomalies would be the main barriers to reaching successful treatment results unless comprehensive understanding of stenosis. Multidisciplinary team approaches encompassing initial assessment, treatment, and postoperative care, are also necessary to achieve the best treatment outcome. Therapeutic approaches are divided into conservative, endoscopic, and open surgical approaches at length, which are not exclusive to each other. Here, an adequate selection of each therapeutic option and postoperative management will be introduced to achieve decannulation without leaving phonatory or swallowing complications.
Keywords
Larynx; Trachea; Stenosis; Endoscope; Dilation; Reconstruction; Resection;
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