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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4-5
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pubmed:dateCreated |
1991-7-17
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pubmed:abstractText |
In the past 6 years, 40 children underwent surgery for laryngotracheal stenosis; 32 by the external approach, 8 by endoscopic CO2 laser. Twenty-seven children (67%) were less than 5 years old at the moment of treatment and 80% of the stenoses (n = 32) corresponded to an etiology that is secondary to endotracheal intubation and/or tracheotomy. By grading the stenoses according to the amount of narrowing of the lumen, the authors emphasize the interest of conservative treatment (endoscopic) for grade I (less than 70%, n = 8), and treatment by external surgical methods for grade II (70%-90%, n = 13), grade III (90%-99%, n = 14), and grade IV (total obstruction, n = 5). At this time, the most commonly used technique is laryngotracheoplasty with costal cartilage interposition. In this series, 88% of the patients were successfully decannulated. As for the treatment of stenosis in infants, the authors describe their recent experience of laryngotracheofissure in 7 patients as an alternative to either tracheotomy in cases of difficult extubation or laryngotracheoplasty when the child is underweight.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0001-4001
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
116
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
395-400
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2096039-Adolescent,
pubmed-meshheading:2096039-Cartilage, Articular,
pubmed-meshheading:2096039-Child,
pubmed-meshheading:2096039-Child, Preschool,
pubmed-meshheading:2096039-Female,
pubmed-meshheading:2096039-Humans,
pubmed-meshheading:2096039-Infant,
pubmed-meshheading:2096039-Intubation, Intratracheal,
pubmed-meshheading:2096039-Laryngoscopy,
pubmed-meshheading:2096039-Laryngostenosis,
pubmed-meshheading:2096039-Laser Therapy,
pubmed-meshheading:2096039-Male,
pubmed-meshheading:2096039-Retrospective Studies,
pubmed-meshheading:2096039-Ribs,
pubmed-meshheading:2096039-Tracheal Stenosis,
pubmed-meshheading:2096039-Tracheotomy
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pubmed:year |
1990
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pubmed:articleTitle |
[Laryngotracheal stenosis in children. Current aspects of the surgical treatment and prevention].
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pubmed:affiliation |
Département de Chirurgie Pédiatrique, C.H.U. Timone-enfants, Marseille.
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|