Paediatric airway reconstruction: a preliminary study

Asha'ari, Zamzil Amin and Sheikh Ab. Hamid, Suzina (2008) Paediatric airway reconstruction: a preliminary study. Medical Journal of Malaysia, 63 (5). pp. 369-372. ISSN 0300-5283

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Abstract

To set the foundation for developing a centre for airway reconstruction, we performed a retrospective database review of patients operated at a tertiary-care university hospital. Over the past 3-year period from 2004 onwards, five paediatric cases of airway reconstruction procedures were performed. All cases had a two stages laryngotracheal reconstruction (TSLTR) for laryngotracheal stenosis (LTS). All patients were children below 15 years and the mean age was 9 years. Only one patient had a Grade IV Myer-Cotton1 stenosis, the rest all had Grade III stenosis. Three out of four of the Grade III stenosis patients were successfully decannulated within one year, the other one died of causes unrelated to LTS. The grade IV patient was still under follow up and surgery was done only recently. This paper highlights the complexity of managing LTS in the paediatric age group and recommends the use of LTR with rib graft as a choice for the management of LTS.

Item Type:	Article (Journal)
Additional Information:	5556/2674
Uncontrolled Keywords:	paediatrics, Laryngotracheal reconstruction, Laryngotracheal stenosis
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User:	Dr ZAMZIL AMIN ASHA'ARI
Date Deposited:	22 Oct 2012 08:47
Last Modified:	17 Jan 2013 14:55
URI:	http://irep.iium.edu.my/id/eprint/2674

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