Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
Surgical management of scleromatous laryngotracheal stenosis
Faculty
Medicine
Year:
2013
Type of Publication:
Article
Pages:
388-393
Authors:
Soliman, Zakaria, Mobashir, Mohammad, Basha, Waleed M, Askar, Sherif, Elnashar, Ismail, Said, Abd ElRaof
DOI:
10.1016/j.anl.2012.11.014
Journal:
AURIS NASUS LARYNX ELSEVIER SCI LTD
Volume:
40
Research Area:
Otorhinolaryngology
ISSN
ISI:000319181100010
Keywords :
Scleroma, Laryngotracheal stenosis, CO2 laser surgery, Laryngotracheal reconstruction, Partial cricotracheal resection, Thyrotracheal anastomosis
Abstract:
Objective: Scleroma is a chronic specific granulomatous disease of the upper respiratory tract caused by Klebsiella Rhinoscleromatis. It usually affects the subglottic region and upper trachea resulting in various degrees of stenosis. Patients with laryngotracheal stenosis may present with stridor, shortness of breath or exercise intolerance and may be tracheostomy dependent. In this work, we presented the experience of our Institute in the management of patients with scleromatous laryngotracheal stenosis using the already designed procedures for traumatic laryngotracheal stenosis. Patients and methods: The study was a non controlled prospective study. It was conducted in Oto-Rhino-Laryngology and Head and Neck Surgery Department of Zagazig University Hospitals, Egypt. It included 38 patients with scleromatous subglottic stenosis and/or upper tracheal stenosis. The patients were classified into four grades according to Myer-Cotton's scale. The surgical treatment modalities included endoscopic CO2 laser surgery with dilatation, laryngotracheal reconstruction, and partial cricotracheal resection with thyrotracheal anastomosis. Results: The average follow-up period was 32.1 months. Twenty four patients (63\%) had an excellent outcome. Nine patients (24\%) had a good outcome. Five patients (13\%) were still tracheostomy dependent. Eleven patients (29\%) developed postoperative granulation tissue. The overall success rate was 87\%. Conclusion: Scleromatous laryngotracheal stenosis is considered a challenging surgical problem. It requires a multidisciplinary approach by well-trained personnel. The surgical techniques designed for cases of laryngotracheal stenosis of a traumatic etiology can be applied for cases of scleroma with approximately the same success rates. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
Online
PDF
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف