PMID: 1213632Sep 11, 1975Paper

The prevention and treatment of laryngeal and tracheal stenoses in children

Fortschritte der Medizin
B Schlosshauer

Abstract

During long-term intubation and tracheotomy in childhood there is risk of stenosis in 3 regions: 1. in the area of the cricoid (ring) cartilage, 2. in the area of the tracheostomy, 3. in the area of the inflated cuff of the tube. To prevent this it is recommended to take an endoscopic look at the mucous membranes when changing the intubation tube or the tracheal cannula; to use for long-term intubation the naso-tracheal approach, combined with a tube with the smallest possible diameter; to use the "open-type tracheotomy" with a mucous membrane-epidermis suture and without the removal of cartilage. Careful inflation of the cuff and rhythmical changing of the position of the cuff in the cervical segment of the trachea lower the risk of pressure-induced damage. If there is an infection or a metabolic disease the mucous membranes are extremely sensitive to pressure. Serious stenoses frequently make laryngical and tracheal plastic surgery in several sessions necessary. The curvature and stiffening of the ventral wall of the trachea can be achieved by implantation of arched cartilage from the cartilage bank.

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.