HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Anna Maria Ciccone Tiziano De Giacomo Federico Venuta Mohsen Ibrahim Giorgio Furio Coloni Erino A. Rendina Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ciccone, A. M. Articles by Rendina, E. A. Search for Related Content PubMed PubMed Citation Articles by Ciccone, A. M. Articles by Rendina, E. A. Related Collections Trachea and bronchi

Eur J Cardiothorac Surg 2004;26:818-822
© 2004 Elsevier Science NL

Operative and non-operative treatment of benign subglottic laryngotracheal stenosis

^a University of Rome "La Sapienza", Division of Thoracic Surgery, Sant'Andrea Hospital, Via Grottarossa, 1035-1039, Rome 00189, Italy
^b University of Rome "La Sapienza", Division of Thoracic Surgery, Policlinico Umberto I, Viale del Policlinico 150, Rome, Italy

Received 15 October 2003; received in revised form 8 June 2004; accepted 9 June 2004.

^* Corresponding author. Tel.: +39-06-80345-773; fax: +39-06-8034-5003. (E-mail: amciccone{at}hotmail.com).

Objective: Surgery is the first line of treatment for laryngotracheal stenosis; Montgomery tube or permanent tracheostomy have been so far the only alternatives. Nd-YAG laser resection and indwelling endotracheal stents have rarely been used in subglottic stenosis for anatomic and technical reasons. We have used the latter approach to optimize the timing of surgery or to achieve palliation without tracheostomy. Methods: Between 1991 and 2001 we have treated 18 patients with subglottic stenosis (10 males, 8 females; age range 14–78, mean 34). The upper margin of the stricture was 2mm to 1cm below the vocal cords; the stenotic segment extended from 1.5 to 5cm. Three patients had tracheostomy done elsewhere. Four patients (Group I) had laser and stenting by a Dumon prosthesis as the only treatment; six had laser and stenting (#4) followed after 1–6 months by laryngotracheal resection (Group II); eight had surgery alone (Group III). Results: In Group I, one patient required repositioning of the stent and in two the stent was removed; two patients died of their underlying disease; at a follow-up of 2–9 years all living patients did well but required permanent aerosolized therapy and periodical bronchoscopy. In Group II, we had two wound infections due to airway colonization by staphylococcus aureus. In Group III, two patients developed anastomotic postoperative stenosis, treated by laser (#2) and stenting (#1), and one patient with previous tracheostomy had a wound infection. Overall, in the 14 surgical patients (Groups II and III) stenosis occurred in 14.2% and infection in 21.3%. After a follow up of 15 months to 12 years, all surgical patients breathe and speak well. Conclusions: Laser resection and endoluminal stenting can be a viable alternative to surgery or optimize the timing of operation in patients with subglottic stenosis.

This article has been cited by other articles:

				D. D. Leventhal, E. Krebs, and M. R. Rosen Flexible Laser Bronchoscopy for Subglottic Stenosis in the Awake Patient Arch Otolaryngol Head Neck Surg, May 1, 2009; 135(5): 467 - 471. [Abstract] [Full Text] [PDF]

				G. Galluccio, G. Lucantoni, P. Battistoni, G. Paone, S. Batzella, V. Lucifora, and R. D. Iacono Interventional endoscopy in the management of benign tracheal stenoses: definitive treatment at long-term follow-up Eur. J. Cardiothorac. Surg., March 1, 2009; 35(3): 429 - 433. [Abstract] [Full Text] [PDF]

				I. Cordos, C. Bolca, C. Paleru, R. Posea, and R. Stoica Sixty tracheal resections - single center experience Interactive CardioVascular and Thoracic Surgery, January 1, 2009; 8(1): 62 - 65. [Abstract] [Full Text] [PDF]

				G. Marulli, G. Rizzardi, L. Bortolotti, M. Loy, C. Breda, A.-M. Hamad, F. Sartori, and F. Rea Single-staged laryngotracheal resection and reconstruction for benign strictures in adults Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 227 - 230. [Abstract] [Full Text] [PDF]

				A. D'Andrilli, A. M. Ciccone, F. Venuta, M. Ibrahim, C. Andreetti, D. Massullo, R. Formisano, and E. A. Rendina Long-term results of laryngotracheal resection for benign stenosis Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 440 - 443. [Abstract] [Full Text] [PDF]

				P. N. Chhajed, R. Eberhardt, H. Dienemann, A. Azzola, M. H. Brutsche, M. Tamm, and F. J.F. Herth Therapeutic bronchoscopy interventions before surgical resection of lung cancer. Ann. Thorac. Surg., May 1, 2006; 81(5): 1839 - 1843. [Abstract] [Full Text] [PDF]

				C. Karagiannidis, V. Velehorschi, B. Obertrifter, H.-N. Macha, A. Linder, and L. Freitag High-Level Expression of Matrix-Associated Transforming Growth Factor-{beta}1 in Benign Airway Stenosis Chest, May 1, 2006; 129(5): 1298 - 1304. [Abstract] [Full Text] [PDF]