La estenosis subglótica (SGS) señala el estrechamiento de la vía aérea entre la glotis (ej. cuerdas vocales) y el cartílago cricoides. La estenosis laringotraqueal. Stefanny Manrique Rodríguez Estenosis subglótica congénita Tratamiento * Casos leves: Terapia de soporte para el manejo de los cuadros de.
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Murgu S, Colt H. Surgical repair of congenital tracheal stenosis in an infant. J Laryngol Otol, 85pp. J Laryngol Subbglotica, 88pp.
In mild stenosis i. Otros sistemas se han descripto tal como se resumen en la Tabla 2. Otolaryngologists have generally used the McCaffrey system for assessing extent and location of an airway stenosis Figure.
J Pediatr Surg, 12pp. The use of the carbon dioxide laser in the pediatric airway. The multitude ewtenosis specialties involved in managing this disorder has resulted in the development of several classification systems with different criteria but none of them included all parameters relevant to treatment decisions and none of them are universally accepted Table 2 Only in one occasion was the disease of congenital etiology.
No detectable lumen Stage 4: Accurate measurement of the involved airway segments length and distance from the vocal cords and carina is crucial. Resection of stenotic segments in the upper trachea, without involvement of the subglottic space, requires surgical incision to be made slightly lower, just above the manubrial notch, and for thoracic tracheal resection median sternotomy is usually necessary J Thorac Cardiovasc Surg, 81pp.
The technique of intraluminal stenting and steroid administration in the treatment of tracheal stenosis in children. The objective of this article is to clarify the relevant parameters that need to be considered in the evaluation of patients with LTS.
Arch Otolaryngol, 82pp. Morphologic types of laryngotracheal stenosis Top left panel: Complication of benign tracheobronchial strictures by self-expanding metal stents. No voice Freitag Type: Miller RD, Hyatt R. Morphometric bronchoscopy in adults with central airway obstruction: The European respiratory journal ; A variety of infectious etiologies can result in LTS including tuberculosis, histoplasmosis and klebsiella rhinoscleromatis with the stricture often presenting long after the primary infection Otolaryngologists use classification systems that account for these variables 5.
PITS develops as a result of mucosal ischemia at the cuff site which can induce granulation tissue and scar development.
A proposed classification system of central airway stenosis. Subglottic stenosis may be managed medically, as well as by endoscopic resection using electrocoagulation, criotherapy or laser ray, or by several surgical procedu-res. Extent of stenosis The vertical length, location of the stenosis, and the presence or absence of multifocal disease significantly affects treatment options. All these parameters impact the decision making process. Airway subglotics in children following prolonged endotracheal intubation.
Three subsites involved Nouraei Airway status A 1.
The choice of its treatment demands understanding subflotica the outcome of the disease as well as awareness of the histopathologi-cal stage of the disease and the different therapeutic ap-proaches.
Death as a result of a direct complication of airway disease Voice V 1. Management of intraetable and extensive tracheal stenosis by implantation of cartilage graft.
Surgical management of benign tracheal stenosis. Intubation injuries of the trachea in children.
Primary reconstruction of airway after resection of subglottic laryngeal and upper tracheal stenosis. The Annals of thoracic surgery ; In the last three years we have treated nine patients with Subglottic stenosis aged between 8 days and 14 months.
Tracheoplasty for tracheal stenosis in the pediatric burned patient. Adquired subglottic stenosis in the very-low birthweight infant.
The European respiratory journal ; Dificultades significativas al tragar 4. Assessing degree of narrowing by still images obtained during flexible bronchoscopy can also be challenging with subjective assessments varying based on technical factors, such as patient position or respiratory effort, estenodis the experience of the bronchoscopist La falta de uniformidad en factores cuantitativos y cualitativos de esta enfermedad Laryngotracheal stenosis TABLA 1.
In general, the most common and quantifiable limitation is dyspnea, initially occurring with exertion. Subglottic stenosis is a complex condition. Varying tracheal cross-sectional area during respiration in infants and children with suspected upper airway obstruction by computed cinetomography scanning.
EValuation of clinical methods for rating dyspnea. In patients who are not surgical candidates, stent insertion is considered the therapeutic modality of choice for complex stenosis Figure. Mayo Clinic Proceedings ;