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Management of Pediatric Laryngotracheal Stenosis

소아 후두기관 협착의 치료

  • Yoon Se, Lee (Department of Otolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 이윤세 (울산대학교 의과대학 이비인후과학교실)
  • Received : 2022.09.27
  • Accepted : 2022.11.23
  • Published : 2022.12.31

Abstract

Pediatric laryngotracheal stenosis occurs by either congenital or acquired causes and usually indicates subglottic stenosis. The main goals of treatment are decannulation, preserving phonation, and normal swallowing function. Various types and degrees of stenosis and combined anomalies would be the main barriers to reaching successful treatment results unless comprehensive understanding of stenosis. Multidisciplinary team approaches encompassing initial assessment, treatment, and postoperative care, are also necessary to achieve the best treatment outcome. Therapeutic approaches are divided into conservative, endoscopic, and open surgical approaches at length, which are not exclusive to each other. Here, an adequate selection of each therapeutic option and postoperative management will be introduced to achieve decannulation without leaving phonatory or swallowing complications.

Keywords

Acknowledgement

This research was funded by the National Research Foundation of Korea, grant numbers MSIP; 2021R1F1A1061438 to YSL.

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