The Management of Laryngotracheal Stenosis in Burned Patients

Publisher Website
Google Scholar
Abstract
Following burns of the upper respiratory tract, laryngotracheal stenosis was associated with morbidity. Cumulative effect of various pathologic processes involved in burn trauma of the upper airway was studied. Emphasis was placed on the extended use of endotracheal intubation and the avoidance of tracheostomy whenever possible. When laryngotracheal stenosis developed, it was safely and successfully treated by prolonged stenting using T-shaped silicone tubes. Limited reconstructive procedures can be performed to facilitate proper placement of the stent. Laryngotracheal resection and reconstruction are not the procedures of choice in burn cases. Illustrative cases (3) exemplified the difficulties and problems involved in the various stages of treatment and the results obtained. Patients were symptom-free 18-24 mo. following stenting with an adequate airway and good voice. There were no complications resulting from this treatment.

This publication has 0 references indexed in Scilit: