[Laryngotracheal stenosis in children]

Abstract

Laryngo-tracheal stenoses in children are a frequent complication after endotracheal intubation and intubation-tracheostomy. It is important to distinguish inflammatory from fibrous stenosis for prognosis and treatment. One must always evoke the diagnosis of stenosis when a child previously had an endotracheal intubation. Endoscopy must be performed with a rigid endoscope. Treatment consists in preventive medical treatment of granulomatous stenoses (steroids, laser dioxide) and laryngoplasty with or without prosthesis when fibrous stenoses is constituted. Anterior ring cricotomy may prevent subglottic stenoses.