ESTENOSIS SUBGLOTICA PDF

Tarn Two patients required tracheo-tomy, one after electrocoagulation and one because of esenosis restenosis of the anatomosis after surgical resection of the congenital suvglotica region. Resection of distal tracheal stenosis in a baby with agenesis of the lung. Primary reconstruction of airway after resection of subglottic laryngeal and upper tracheal stenosis. These parameters comprise the Myer-Cotton classification system Table 2which was shown to predict treatment outcomes and has been applied by otolaryngologists for several decades Otolaryngologists, thoracic surgeons and interventional bronchoscopists have all treated LTS.

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Abstract Introduction Subglottic stenosis is rare, its primary pathogenic mechanism being tracheal intubation. Its incidence has declined in recent decades due to improved material and reduced intubation time. The objective of this study was to analyse the experience in treating this disease, emphasising the type of treatment used, the rate of decannulation obtained, symptomatic changes after treatment, and the total number of procedures performed per patient.

Materials and methods The study included 16 patients diagnosed and treated for subglottic stenosis in our department from to Clinicopathologic data were collected including: age, sex, etiology and severity the Cotton classification , diagnostic methods used, type of treatment, progression of symptoms, decannulation and number of procedures performed per patient.

To identify changes, morbidity and success rate with the proposed treatment, we analysed our results, comparing them with those collected in other studies. The number of procedures per patient was 1.

Conclusions Subglottic stenosis treatment must be individualised based on patient characteristics, type of stenosis and severity. The use of endoscopic laser provides the best results in mild to moderate degrees with low morbidity. Open surgery was reserved for severe degrees, and after the failure of the CO2 laser.

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