Skip to main content

Techniques for Laryngotracheal Reconstruction

  • Chapter
  • First Online:
Principles and Practice of Interventional Pulmonology
  • 3479 Accesses

Abstract

In this chapter, we review airway assessment, pathophysiology, and therapeutic pathways for treating patients with subglottic stenosis. Therapeutic options including medical management, awake in-office procedures, endoscopic operative procedures, and open operative procedures will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  1. Cotton RT. Management of subglottic stenosis. Otolaryngol Clin North Am. 2000;33:111–30.

    Article  PubMed  CAS  Google Scholar 

  2. Cunningham MJ, Eavey RD, Vlahakes GJ, Grillo HC. Slide tracheoplasty for long-segment tracheal stenosis. Arch Otolaryngol Head Neck Surg. 1998;124:98–103.

    Article  PubMed  CAS  Google Scholar 

  3. Duncavage JA, Koriwchak MJ. Open surgical techniques for laryngotracheal stenosis. Otolaryngol Clin North Am. 1995;28:785–95.

    PubMed  CAS  Google Scholar 

  4. Eliashar R, Eliachar I, Esclamado R, Gramlich T, Strome M. Can topical mitomycin prevent laryngotracheal stenosis? Laryngoscope. 1999;109:1594–600.

    Article  PubMed  CAS  Google Scholar 

  5. George M, Lang F, Pasche P, Monnier P. Surgical management of laryngotracheal stenosis in adults. Eur Arch Otorhinolaryngol. 2005;262:609–15.

    Article  PubMed  Google Scholar 

  6. Grillo HC. The history of tracheal surgery. Chest Surg Clin N Am. 2003;13:175–89.

    Article  PubMed  Google Scholar 

  7. Grillo HC, Mathisen DJ, Ashiku SK, Wright CD, Wain JC. Successful treatment of idiopathic laryngotracheal stenosis by resection and primary anastomosis. Ann Otol Rhinol Laryngol. 2003;112:798–800.

    PubMed  Google Scholar 

  8. Grillo HC, Mathisen DJ, Wain JC. Laryngotracheal resection and reconstruction for subglottic stenosis. Ann Thorac Surg. 1992;53:54–63.

    Article  PubMed  CAS  Google Scholar 

  9. Gustafson LM, Hartley BE, Liu JH, et al. Single-stage laryngotracheal reconstruction in children: a review of 200 cases. Otolaryngol Head Neck Surg. 2000;123:430–4.

    Article  PubMed  CAS  Google Scholar 

  10. Hartley BE, Cotton RT. Paediatric airway stenosis: laryngotracheal reconstruction or cricotracheal resection? Clin Otolaryngol Allied Sci. 2000;25:342–9.

    Article  PubMed  CAS  Google Scholar 

  11. Kamel KS, Lau G, Stringer MD. In vivo and in vitro morphometry of the human trachea. Clin Anat. 2009;22:571–9.

    Article  PubMed  Google Scholar 

  12. Lee KH, Rutter MJ. Role of balloon dilation in the management of adult idiopathic subglottic stenosis. Ann Otol Rhinol Laryngol. 2008;117:81–4.

    PubMed  Google Scholar 

  13. Lorenz RR. Adult laryngotracheal stenosis: etiology and surgical management. Curr Opin Otolaryngol Head Neck Surg. 2003;11:467–72.

    Article  PubMed  Google Scholar 

  14. McCaffrey TV. Classification of laryngotracheal stenosis. Laryngoscope. 1992;102:1335–40.

    Article  PubMed  CAS  Google Scholar 

  15. Myer 3rd CM, O’Connor DM, Cotton RT. Proposed grading system for subglottic stenosis based on endotracheal tube sizes. Ann Otol Rhinol Laryngol. 1994;103:319–23.

    PubMed  Google Scholar 

  16. Nouraei SA, Giussani DA, Howard DJ, Sandhu GS, Ferguson C, Patel A. Physiological comparison of spontaneous and positive-pressure ventilation in laryngotracheal stenosis. Br J Anaesth. 2008;101:419–23.

    Article  PubMed  CAS  Google Scholar 

  17. Nouraei SA, Nouraei SM, Upile T, Howard DJ, Sandhu GS. A proposed system for documenting the functional outcome of adult laryngotracheal stenosis. Clin Otolaryngol. 2007;32:407–9.

    Article  PubMed  CAS  Google Scholar 

  18. Rahbar R, Shapshay SM, Healy GB. Mitomycin: effects on laryngeal and tracheal stenosis, benefits, and complications. Ann Otol Rhinol Laryngol. 2001;110:1–6.

    PubMed  CAS  Google Scholar 

  19. Roediger FC, Orloff LA, Courey MS. Adult subglottic stenosis: management with laser incisions and mitomycin-C. Laryngoscope. 2008;118:1542–6.

    Article  PubMed  Google Scholar 

  20. Rooney CP, Ferguson JS, Barnhart W, et al. Use of 3-dimensional computed tomography reconstruction studies in the preoperative assessment of patients undergoing balloon dilatation for tracheobronchial stenosis. Respiration. 2005;72:579–86.

    Article  PubMed  Google Scholar 

  21. Sandu K, Monnier P. Cricotracheal resection. Otolaryngol Clin North Am. 2008;41:981–98, x.

    Article  PubMed  Google Scholar 

  22. Shapshay SM, Beamis Jr JF, Dumon JF. Total cervical tracheal stenosis: treatment by laser, dilation, and stenting. Ann Otol Rhinol Laryngol. 1989;98:890–5.

    PubMed  CAS  Google Scholar 

  23. Wolf M, Shapira Y, Talmi YP, Novikov I, Kronenberg J, Yellin A. Laryngotracheal anastomosis: primary and revised procedures. Laryngoscope. 2001;111:622–7.

    Article  PubMed  CAS  Google Scholar 

  24. Yellon RF. Prevention and management of complications of airway surgery in children. Paediatr Anaesth. 2004;14:107–11.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ramon Franco Jr. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Franco, R. (2013). Techniques for Laryngotracheal Reconstruction. In: Ernst, A., Herth, F. (eds) Principles and Practice of Interventional Pulmonology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4292-9_48

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4292-9_48

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4291-2

  • Online ISBN: 978-1-4614-4292-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics