PMID: 9557761Apr 29, 1998Paper

Endoscopic management of pediatric posterior glottic stenosis

The Annals of Otology, Rhinology, and Laryngology
F L Rimell, J E Dohar

Abstract

Open laryngofissure with posterior cartilage grafting is advocated by some as the main treatment for posterior glottic stenosis in children. Endoscopic arytenoidectomy has been tried and recommended for bilateral vocal cord paralysis in children, but little published experience exists in its use for the treatment of pediatric posterior glottic stenosis. We describe our experience with this technique in 11 children ages 2 to 12 years, 6 of whom were under the age of 5 years. Nine of 11 patients at the initial surgery were tracheotomy-dependent; 2 others had previous laryngofissure with cartilage grafting, but continued to suffer from severe airway limitations. Modified carbon dioxide laser arytenoidectomies resulted in decannulation in 5 of 9 children and marked improvements in the 2 children without tracheotomies, as documented by flow volume loops and symptoms. Endoscopic arytenoidectomy, in our experience, is not as successful as open techniques described in previously published series of children, and requires multiple procedures due to the regrowth of granulation tissue. However, endoscopic repair is a viable option for low-grade stenosis and does not preclude an open repair in the future. It is also useful as an adjunctive...Continue Reading

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Citations

Aug 5, 2000·Otolaryngologic Clinics of North America·G M Gardner
Aug 22, 2015·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·A EvansM Thevasagayam
May 23, 2009·The Journal of Laryngology and Otology·S ChitoseT Nakashima
Mar 28, 2001·The Annals of Otology, Rhinology, and Laryngology·G CantarellaA Ottaviani
Aug 5, 2008·The Laryngoscope·László RovóJózsef Jóri
Aug 11, 2007·The Laryngoscope·Hyoung Mi KimMyung-Whun Sung
Nov 7, 2003·The Laryngoscope·Andrew F InglisJason Mouzakes
Aug 17, 2020·International Journal of Pediatric Otorhinolaryngology·Andre' M Wineland
Oct 17, 2020·Current Opinion in Otolaryngology & Head and Neck Surgery·Austin N DeHart, Gresham T Richter

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