Treatment of laryngeal stenosis in children

Mieczysław Chmielik, Małgorzata Dębska, Anna Bielicka, Anna Gabryszewska

Summary
The number of children with laryngeal stenosis has increased as a result of congenital defects and prolonged int-bation. In the Department of Paediatric Otorhinolaryngology of Warsaw Medical School, during the last ten years (1990-1999), 52 children suffering from laryngeal stenosis have been diagnosed. Among the 36 diagnosed or treated children, 21 were decannulated, 3 died, 4 are still under treatment, and we have no information on 8 of them. Children with laryngeal stenosis are treated using a laryngeal incision performed with a laryngotome, on a silastic seperator on an endless thread. The treatment is difficult and prolonged in children with the 3 ^rd and 4^th degree of stenosis. Intralaryngeal incision is an efficient method in the treatment of postintubation laryngeal stenosis. It allowed the decannulation of 58% of cases.

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