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Therapeutic Effectiveness of Costal Cartilage Grafting Into Both Anterior and Posterior Walls for Laryngotracheal Reconstruction in Acquired Subglottic Stenosis by Shigeyuki Furuta; Hideki Nagae; Kei Ohyama; Kunihide Tanaka; Hiroaki Kitagawa is a Medicine article available to read on EtoBox.
What is Therapeutic Effectiveness of Costal Cartilage Grafting Into Both Anterior and Posterior Walls for Laryngotracheal Reconstruction in Acquired Subglottic Stenosis about?
Background We have reviewed the surgical procedures performed and outcomes for low-birth-weight infants with acquired subglottic stenosis. Methods The gestational age at birth, birth weight, age at Laryngotracheal reconstruction, and therapeutic outcome over the past 26 years were reviewed. Laryngotracheal reconstruction was initially performed by costochondral grafting involving only the anterior wall for the first operation, but since 2010 a costal cartilage was also inserted into the posterior wall of the cricoid cartilage using the BENSON pylorus spreader to split the cartilage. Results There were 21 patients. The mean gestational age was 29.6 weeks, the mean birth weight was 1127 g, and the first surgery was performed at a mean age of 37.0 ± 21.8 months. Extubation was possible in 11 of 21 patients (52.3%) after the first surgery and in 7 of 7 patients after re-operation. The total extubation rate reached 100% (18/18) excluding three patients (one who suffered sudden death, and two who were lost to follow-up). Conclusion Sufficient dilatation of the subglottic space could not be achieved by costochondral grafting involving the anterior wall alone. The extubation rate was impro
Who reads Therapeutic Effectiveness of Costal Cartilage Grafting Into Both Anterior and Posterior Walls for Laryngotracheal Reconstruction in Acquired Subglottic Stenosis?
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- Author
- Shigeyuki Furuta; Hideki Nagae; Kei Ohyama; Kunihide Tanaka; Hiroaki Kitagawa
- Publisher
- Springer Science and Business Media LLC
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)