Immediate extubation after single-stage laryngotracheal reconstruction for subglottic stenosis in children

作者全名："Tang, XinYe; Yang, Yang; Zhang, ZhiHai; Sun, Rong"

作者地址："[Tang, XinYe; Yang, Yang; Zhang, ZhiHai] Childrens Hosp Chongqing Med Univ, Dept Otolaryngol, Chongqing, Peoples R China; [Tang, XinYe; Yang, Yang; Zhang, ZhiHai] Minist Educ, Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Tang, XinYe; Yang, Yang; Zhang, ZhiHai] Natl Clin Res Ctr Child Hlth & Disorders Chongqing, Chongqing, Peoples R China; [Tang, XinYe; Yang, Yang; Zhang, ZhiHai] China Int Sci & Technol Cooperat Base Child Dev &, Chongqing, Peoples R China; [Sun, Rong] Chongqing Med Univ, Dept Phys Examinat, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400016, Peoples R China"

通信作者："Sun, R (通讯作者)，Chongqing Med Univ, Dept Phys Examinat, Affiliated Hosp 1, 1 Youyi Rd, Chongqing 400016, Peoples R China."

来源：EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000922469800001

JCR分区：Q2

影响因子：1.9

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Article; Early Access

关键词：Laryngotracheal reconstruction; Subglottic stenosis; Costal cartilage; Graft; Stent

摘要："PurposeTo evaluate the feasibility and clarify the appropriate indications for extubation immediately after single-stage laryngotracheal reconstruction (SS-LTR) in pediatric subglottic stenosis (SGS).MethodsA retrospective study was performed from July 2017 to July 2022. All patients underwent SS-LTR with anterior costal cartilage graft. Information such as demographics, comorbidities, history of intubation or tracheostomy, Classification and grading of airway stenosis, the operation-specific decannulation rate and overall decannulation rate were analyzed.ResultsTwenty-two patients with simple SGS were identified. The median age at SS-LTR was 19 months (IQR = 18.5 months). Fourteen patients (63.6%) were intubated prior to the presentation of symptoms. Fourteen patients (63.6%) required preoperative tracheostomy to maintain a secure airway. Eight patients (36.4%) had congenital SGS, 10 patients (45.5%) had acquired SGS, and 4 patients (18.2%) had mixed SGS. Three patients had Grade II stenosis. Nineteen patients had Grade III stenosis. Comorbidities were found in 10 patients (45.5%). Major comorbidities were pneumonia. Congenital airway anomalies were found in 6 patients (27.3%). After anesthesia, all 22 patients were successfully extubated and returned to the general ward. Twenty patients had a satisfactory airway after SS-LTR. Two patients required reintubation or tracheostomy after operation. Operation-specific decannulation rate was 90.9%. The overall decannulation rate is 100%.ConclusionSS-LTR with anterior costal cartilage graft is an effective method to treat simple SGS ranging from Grades I to III in children. Extubation immediately after surgery is safe and feasible."

基金机构：　

基金资助正文：