Posterior glottic stenosis mechanism and surgical management

被引:43
作者
Hoasjoe, DK
Franklin, SW
Aarstad, RF
Day, TA
Stucker, FJ
机构
[1] Department of Otolaryngology/Head and Neck Surgery, Louisiana State University, School of Medicine, Shreveport, LA
[2] LSU School of Medicine, Department of Otolaryngology/Head and Neck Surgery, Shreveport, LA 71130
关键词
D O I
10.1097/00005537-199705000-00022
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Posterior glottic stenosis with arytenoid fixation is an uncommon complication of laryngeal injury. Though etiologies vary; the most common is prolonged intubation. Patients with this problem are tracheotomy dependent and have compromised voice production. There has been no acceptable approach to reconstruction of the larynx, the majority of patients being treated with some type of vocal fold lateralization. The success rate with this approach varies, and this procedure does not take advantage of the intact neuromuscular status of the larynx. Over the past 3 years we have utilized an alternative approach, to repair the stenosis and mobilize the arytenoids in 10 patients, Our surgical technique involves laryngeal exposure via a laryngofissure, the removal of posterior glottic cicatricial tissues, and the application of an autologous graft. Subsequently, all but one of the patients were able to be decannulated. Subjective postoperative voice analysis showed improved voice production, The pathophysiology for this disorder and a review of different treatment modalities are discussed.
引用
收藏
页码:675 / 679
页数:5
相关论文
共 15 条
[1]   POSTERIOR GLOTTIC LARYNGEAL STENOSIS [J].
BOGDASARIAN, RS ;
OLSON, NR .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1980, 88 (06) :765-772
[2]   CARBON-DIOXIDE LASER MANAGEMENT OF LARYNGEAL STENOSIS [J].
DUNCAVAGE, JA ;
OSSOFF, RH ;
TOOHILL, RJ .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1985, 94 (06) :565-569
[3]   CORDECTOMY VERSUS ARYTENOIDECTOMY IN THE MANAGEMENT OF BILATERAL VOCAL CORD PARALYSIS [J].
ECKEL, HE ;
THUMFART, M ;
VOSSING, M ;
WASSERMANN, K ;
THUMFART, WF .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1994, 103 (11) :852-857
[4]  
GRAHNE B, 1983, LARYNGOSCOPE, V93, P163
[5]   PATHOGENESIS OF SUBGLOTTIC STENOSIS FROM ENDOTRACHEAL INTUBATION [J].
HAWKINS, DB .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1987, 96 (01) :116-117
[6]  
IRWING RM, 1993, INT J PEDIATR OTORHI, V28, P11
[7]  
LANGMAN AW, 1989, LARYNGOSCOPE, V99, P571
[8]  
Lindholm C E, 1970, Acta Anaesthesiol Scand Suppl, V33, P1
[9]  
MONTGOMERY WW, 1973, ARCH OTOLARYNGOL, V98, P170
[10]  
PORTUESE W, 1989, ARCH OTOLARYNGOL, V115, P705