Abstract
Objective
To discuss the presentation, evaluation, and management of congenital laryngeal webs with subglottic stenosis.
Methods
The clinical data of six children were retrospectively analyzed.
Results
The median age of these children who came to our hospital was 14 months (range 1–26 months). A tracheotomy was performed in all these six children. The median age of the patients who underwent tracheotomy was 4 months (range 1–11 months). The surgical method was T-tube implantation combined with cricoid cartilage reconstruction. The median age of these patients at the time of operation was 22 months (range 13–35 months). The T-tube remained in place for 3–8 months, with a median time of 6 months. The tracheal tubes in all these children were successfully removed. All patients were followed up for more than 2 years without recurrence.
Conclusions
Children who have congenital laryngeal webs with subglottic stenosis required early tracheotomy. Open laryngoplasty combined with T-tube implantation and cricoid cartilage reconstruction may play a crucial role in the treatment of these children.
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PZ, conception of the work, acquisition, analysis, and interpretation of data for the work; HMX, revision of work for important intellectual content, final approval of version to be published, agreement to be accountable for all aspects of work; XYL, final approval of the version to be published, agreement to be accountable for all aspects of work. All authors read and approved the final manuscript.
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The authors declare that they have no competing interests.
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The experimental protocol was established according to the ethical guidelines of the Helsinki Declaration and was approved by the Human Ethics Committee of Shanghai Children’s Hospital, Shanghai Jiao Tong University.
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The researchers obtained informed consent from the legal guardians of the patients for the portrayal of clinical data and images in this study.
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Zhu, P., Xu, H.M. & Li, X.Y. T-tube implantation combined with cricoid cartilage reconstruction in the treatment of congenital laryngeal webs with subglottic stenosis. Eur Arch Otorhinolaryngol 280, 5483–5488 (2023). https://doi.org/10.1007/s00405-023-08235-y
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DOI: https://doi.org/10.1007/s00405-023-08235-y