Surgical treatment of postintubation stenosis of the larynx in children

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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

ORCID: 0000-0002-9808-8682

Alkhasov A.B.

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

ORCID: 0000-0003-3925-4991

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

SPIN RSCI: 1344-6230
Scopus AuthorID: 57193898668
ORCID: 0000-0001-5574-8292

Latysheva E.N.

National Medical Research Center for Children’s Health

ORCID: 0000-0002-5547-4014

Received:

19.02.2022

Accepted:

22.11.2022

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