The experience with the use of the two-step laryngotracheoplasty for the management of subglottic and combined subglottic and upper tracheal cicatrical stenosis in the adult patients

Yagudin R.K.; Yagudin K.F.

doi:https://doi.org/10.17116/otorino201580253-59

Yagudin R.K.

Lugansk State Medical University, Lugansk, the Ukraine, 91033

Yagudin K.F.

Lugansk State Medical University, Lugansk, the Ukraine, 91033

The experience with the use of the two-step laryngotracheoplasty for the management of subglottic and combined subglottic and upper tracheal cicatrical stenosis in the adult patients

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Yagudin R.K., Yagudin K.F.

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Journal: Russian Bulletin of Otorhinolaryngology. 2015;80(2): 53‑59

DOI: 10.17116/otorino201580253-59

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Yagudin RK, Yagudin KF. The experience with the use of the two-step laryngotracheoplasty for the management of subglottic and combined subglottic and upper tracheal cicatrical stenosis in the adult patients. Russian Bulletin of Otorhinolaryngology. 2015;80(2):53‑59. (In Russ.)
https://doi.org/10.17116/otorino201580253-59

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

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Abstract:

The objective of the present retrospective study was to evaluate the clinical experience with the use of the two-step laryngotracheoplasty for the treatment of subglottic and combined subglottic and upper tracheal cicatrical stenosis in the adult patients during the period between 2003 and 2012. A total of 13 patients were retrospectively reviewed following the surgical treatment for the management of subglottic and combined subglottic andupper tracheal cicatrical stenosis based at the Lugansk regional clinical hospital. The effectiveness of two-stage laryngotracheoplastywas estimatedto be 84.6%. The number of the surgical procedures per patient depended on the extent of tracheal stenosis while the overall rehabilitation period mainly depended on the severityof theconcomitant pathologies. The technical aspects and the results of the surgical treatment are discussed.

Keywords:

two-stage laryngotracheoplasty

polypropylene mesh

subglottic stenosis

Authors:

Yagudin R.K.

Lugansk State Medical University, Lugansk, the Ukraine, 91033

Yagudin K.F.

Lugansk State Medical University, Lugansk, the Ukraine, 91033

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References:

Biller H.F., Lawson W., Weisberg V. Staged repair of extensive tracheal and laryngotracheal stenoses. Ann Otol Rhinol Laryngol 1986; 95: 6 Pt 1: 586—589.
Tyshko F.A. Vosstanovitel'no-rekonstruktivnaya khirurgiya gortani, trakhei, glotki i pishchevoda. Nauchnyi vestnik natsional'nogo meditsinskogo universiteta im. Bogomol'tsa 2006; 4: 165—175.
Montgomery W.W. Reconstruction of the cervical trachea. The Annals of otology, rhinology, and laryngology 1964; 73: 1—15.
Okada K., Murakami Y., Ikari T., Haraguchi S., Maruyama T., Tateno H. Surgical treatment of laryngotracheal stenosis by a trough technique. Auris Nasus Larynx 1985; 12 Suppl 2: 78—80.
Bystrenin A.V. Opyt vosstanovleniya karkasa sheinogo otdela trakhei s ispol'zovaniem polukolets iz rebernogo autokhryashcha. Vestn otorinolar 2005; 1: 41—43.
Terra R.M., Minamoto H., Carneiro F., Pego-Fernandes P.M., Jatene F.B. Laryngeal split and rib cartilage interpositional grafting: treatment option for glottic/subglottic stenosis in adults. J Thorac Cardiovasc Surg 2009; 137: 4: 818—823.
Zhi L., Wenli W., Pengfei G., Pengcheng C., Wenxian C., Jiasheng L., Yongzhu S. Laryngotracheal reconstruction with autogenous rib cartilage graft for complex laryngotracheal stenosis and/or anterior neck defect. Eur Arch Otorhinolaryngol 2014; 271: 2: 317—322.
Parshin V.D. Trakheostomiya. Pokazaniya, tekhnika, oslozhneniya i ikh lechenie. M: GEOTAR-Media 2008.
Donahue D.M. Reoperative tracheal surgery. Chest surgery clinics of North America 2003; 13: 2: 375—383.
Pena J., Cicero R., Marin J., Ramirez M., Cruz S., Navarro F. Laryngotracheal reconstruction in subglottic stenosis: an ancient problem still present. Otolaryngol Head Neck Surg 2001; 125: 4: 397—400.
Ashiku S.K., Kuzucu A., Grillo H.C., Wright C.D., Wain J.C., Lo B., Mathisen D.J. Idiopathic laryngotracheal stenosis: effective definitive treatment with laryngotracheal resection. J Thorac Cardiovasc Surg 2004; 127: 1: 99—107.
Rea F., Callegaro D., Loy M., Zuin A., Narne S., Gobbi T., Grapeggia M., Sartori F. Benign tracheal and laryngotracheal stenosis: surgical treatment and results. Eur J Cardiothorac Surg 2002; 22: 3: 352—356.
George M., Lang F., Pasche P., Monnier P. Surgical management of laryngotracheal stenosis in adults. Eur Arch Otorhinolaryngol 2005; 262: 8: 609—615.
Wain J.C. Postintubation tracheal stenosis. Chest surgery clinics of North America 2003; 13: 2: 231—246.
Myer 3rd C.M., O’Connor D.M., Cotton R.T. Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol 1994; 103: 4 Pt 1: 319—323.
Yagudin R.K., Demenkov V.R., Yagudin K.F. Plastic cordotomy in the treatment of bilateral vocal fold immobility. Head Neck 2012; 34: 12: 1753—1758.
Yagudin R.K., Yagudin K.F. Alloplastika laringotrakheostomy polipropilenovoi setkoi Esfil. Vestn otorinolar 2007; 1: 32—36.
Ovchinnikov A.A., Seredin R.V. Primenenie endostentov pri opukholevykh i rubtsovykh stenozakh trakhei i glavnykh bronkhov. Vestn otorinolar 2004; 2: 23—28.
Ahn S.H., Sung M.W., Kim K.H. Factors associated with staged reconstruction and successful stoma closure in tracheal resection and end-to-end anastomosis. Archives of otolaryngology — head & neck surgery 2004; 130: 1: 57—62.