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Komina E.I.

National Medical Research Center for Children’s Health

Alkhasov A.B.

National Medical Research Center for Children’s Health;
Pirogov Russian National Research Medical University

Rusetsky Yu.Yu.

National Medical Research Center for Children’s Health;
Central State Medical Academy of the Department of Presidential Affairs of the Russian Federation

Latysheva E.N.

National Medical Research Center for Children’s Health

Surgical treatment of postintubation stenosis of the larynx in children

Authors:

Komina E.I., Alkhasov A.B., Rusetsky Yu.Yu., Latysheva E.N.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2023;88(3): 50‑55

DOI: 10.17116/otorino20228803150

Read: 3700 times

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Table of contents

SURGICAL TREATMENT OF POSTINTUBATION STENOSIS OF THE LARYNX IN CHILDREN
SURGICAL TREATMENT OF POSTINTUBATION STENOSIS OF THE LARYNX IN CHILDREN

To cite this article:

Komina EI, Alkhasov AB, Rusetsky YuYu, Latysheva EN. Surgical treatment of postintubation stenosis of the larynx in children. Russian Bulletin of Otorhinolaryngology. 2023;88(3):50‑55. (In Russ.)
https://doi.org/10.17116/otorino20228803150

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Post-intubation laryngeal stenosis is the most common cause of upper respiratory obstruction in children. According to published data, the incidence of post-intubation stenosis ranges from 0.1 to 20%. Treatment of children with chronic laryngeal stenosis is a special branch of respiratory surgery. It remains one of the most complex and urgent problems in pediatrics, pediatric otorhinolaryngology, and pediatric surgery. Although numerous studies have described various methods for treating stenosis of the infraglottic space, there is no standard management approach. Currently, there are two main treatment methods: endoscopic interventions and open reconstructive surgery. Each method has its benefits and drawbacks. Despite the use of various techniques, the effectiveness of cicatricial laryngeal stenosis repair and decannulation in children is 63-64%, according to published data. With combined lesions of infraglottic and vocal cord parts of the larynx, especially with their cicatricial obliteration, reconstructive surgery is successful only in 50% of cases. Thus, treating children with post-intubation respiratory stenosis remains a complex problem and is a relevant direction for further research.

Keywords:

laryngeal stenosis
laryngeal repair
intubation
laser vaporization
tracheostomy
children

Authors:

Komina E.I.

National Medical Research Center for Children’s Health

Alkhasov A.B.

National Medical Research Center for Children’s Health;
Pirogov Russian National Research Medical University

Rusetsky Yu.Yu.

National Medical Research Center for Children’s Health;
Central State Medical Academy of the Department of Presidential Affairs of the Russian Federation

Latysheva E.N.

National Medical Research Center for Children’s Health

Received:

19.02.2022

Accepted:

22.11.2022

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