Table 3.
Reviewed adult patients with advanced laryngeal and or tracheal stenosis.
| N | Age | Co-morbidities | Lesion | Stage | Tracheostomy timing | Procedures | Stenting (type/duration/g.t.) | Number of endoscopies needed after each surgery | Outcome |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 18y | None | LTS | Mc-Caffrey III | During the 3rd procedure | R + A (SS) | ET Tube 1 day-No | One | Decannulated |
| Endoscopic Dilatation | |||||||||
| LTR + APG (DS) | Montgomery T-tube 21 days-No | Five | |||||||
| Tracheoplasty + AG (DS) | Siliconea 40 days-Yes | One | |||||||
| 2 | 18y | Vocal cords paralysis | LTS | Mc-Caffrey IV | Prior to the 1st procedure | CTR (DS) | None | Three | Decannulated |
| Right Posterior cordotomy | |||||||||
| 3 | 18y | None | Supra-glottic | NA | Prior to the 1st procedure | Supraglottic reconstruction (DS) | Silicone 21 days-No | One | Decannulated |
| Release of adhesions | |||||||||
| Release of adhesions | |||||||||
| 4 | 22y | None | Tracheal | Anand (cervical, mild, 1–3 cm) | None | Tracheoplasty + AG (SS) | ET tube 1 day-No | One | Decannulated |
| 5 | 23y | None | LTS | Mc-Caffrey III | Prior to the 1st procedure | R + A (DS) | Montgomery T-tube 7 days-No | Two | Decannulated |
| LTR + APG (DS) | Silicone-17 days-No | Three | |||||||
| 6 | 25y | None | SGS | Cotton Myer III | Prior to the procedure | LTR + APG (SS) | ET Tube 4 days-No | Three | Decannulated |
| 7 | 29y | GERD | AGS | Cohen IV | Prior to the procedure | CTR + AG (DS) | None-Yes | Three | Decannulated |
| 8 | 45y | None | SGS | Cotton Myer III | During the 3rd procedure | Endoscopic Dilatation | Decannulated | ||
| LTR + APG (SS) | ET tube 5 days-No | Four | |||||||
| LTR + APG (DS) | Silicone 19 days-No | Two | |||||||
| Endoscopic dilatation | |||||||||
| CTR (DS) | None-Yes-Mitomycin | One |
SGS, subglottic stenosis; LTR, laryngotracheal reconstruction; AG, anterior graft; APG, anterior and posterior grafts; CTR, cricotracheal resection; R + A, resection and anastomosis; PG, posterior graft; ET, endotracheal tube; SS, single stage; DS, double stage; g.t., granulation tissue.
a
Silicone stent is made of one of the flanges of a Montgomery T-tube, it is always plugged caudally to avoid aspiration with the upper tip placed just above the level of the vocal cords.