Laryngotracheal reconstruction without stenting

by Dr. Rande Lazar on May 29, 2009

About Dr. Rande Lazar

Dr. Rande Lazar is an Otolaryngologist located in Memphis, TN and also the founder of Otolaryngology Consultants. The practice is an ear, nose, and throat office based out of Memphis. Though his primary focus is children, he treats adult patients in the Memphis area. Dr. Rande Lazar has a wide array of experience in many areas of otolaryngology, including treatment for sinus, respiratory, tonsil, ear and throat infections, as well as sleep disorders. Dr. Lazar is also experienced in pediatric hearing and larynx (voice box) problems, as well as many other problems affecting the head and neck. Dr. Lazar is a skilled surgeon for both pediatric and adult sleep and sinus disorders.

Article Abstract:

Many surgical procedures, including laryngotracheal expansion with or without grafting, have been suggested for repairing laryngotracheal stenosis in children, and although a variety of stents have been described, the practice of prolonged stenting continues to diminish. We describe 21 pediatric patients with moderate-to-severe subglottic or tracheal stenosis who had laryngotracheal reconstructions with anterior rib cartilage grafts without stenting or intubation. The patients  were between 6 months and 7 years of age at the time of surgery. All patients were extubated in the operating room after the procedure was terminated. One patient required reintubation in the intensive care unit for 48 hours after surgery, and another patient required a tracheotomy. Wound infection occurred in one patient. Most patients were discharged to their homes 3 to 5 days after surgery. We report the indications, technique, results, and complications of laryngotracheal reconstruction using a rib graft without stenting.

Read the full article as a PDF here: Laryngotracheal reconstruction without stenting

Dr. Rande Lazar is the founder of the Memphis-based pediatric ear, nose and throat practice, Otolaryngology Consultants.

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