Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 20, Issue 4 , Pages 229-235, December 2009

Laryngotracheal reconstruction

  • Matthew T. Brigger, MD, LCDR, MC, USN
    • ,
  • Christopher J. Hartnick, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests and correspondence: Christopher J. Hartnick, MD, Department of Otolaryngology—Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114

Department of Otolaryngology, Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts

Subglottic stenosis represents a challenging problem in pediatric otolaryngology. A multidisciplinary care team is required to achieve successful outcomes. The primary therapy is surgical in nature. Expansion laryngotracheal reconstruction represents the primary surgical modality. Over time, advances in laryngotracheal reconstruction techniques and postoperative management have lead to excellent overall outcomes towards a primary goal of decannulation of tracheostomy dependent children. Recent efforts have been directed towards improving voice outcomes and devising less invasive procedures. Although the management of pediatric subglottic stenosis remains complex, most children can be successfully decannulated with proper surgical management.

Keywords: Subglottic stenosis, Pediatric, Laryngotracheal reconstruction, Laryngotracheoplasty

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 The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, the Department of Defense, nor the USA Government.

PII: S1043-1810(09)00074-8

doi:10.1016/j.otot.2009.10.006

Operative Techniques in Otolaryngology - Head and Neck Surgery
Volume 20, Issue 4 , Pages 229-235, December 2009

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