Single-stage laryngotracheoplasty in children

Abstract

Objective: To review the outcomes of pediatric patients with laryngotracheal stenosis treated by single-stage laryngotracheoplasty.

Methods: A single surgeon personal series retrospective review of 15 children undergoing single-stage laryngotracheoplasty for laryngeal stenosis over 4-year period (2004-2008).

Results: 15 patients (9 boys and 6 girls), with ages ranging from 1 month to 18 years, were operated. Using the Myer-Cotton grading system, 2 patients were diagnosed with grade 4 stenosis, 6 patients with grade 3 and 7 patients with grade 2. In10 cases, an LTP with anterior costal cartilage graft was performed; in one case an anterior and posterior LTP; in one case a partial cricotracheal resection and in 3 cases an anterior cricoids split. The overall success rate was 94%.

Conclusion: Single stage laryngotracheoplasty is a safe and effective method for laryngotracheal stenosis in children.