TY - JOUR
T1 - Laryngotracheoplasty as an alternative to tracheotomy in infants younger than 6 months
AU - White, D.R.
AU - Bravo, M.
AU - Vijayasekaran, Shyan
AU - Rutter, M.J.
AU - Cotton, R.T.
AU - Elluru, R.G.
PY - 2009
Y1 - 2009
N2 - Objective To compare the success rates of laryngotracheoplasty (LTP) with those of anterior cricoid split (ACS) performed over the same period in infants younger than 6 months.Design Case-control study.Setting Tertiary children's hospital.Participants Thirty-two infants younger than 6 months.Interventions Twenty-one infants younger than 6 months underwent single-stage LTP as an alternative to tracheotomy, and the outcomes were compared with those in 11 infants who underwent ACS as an alternative to tracheotomy.Main Outcome Measures Operation-specific success was defined as extubation without subsequent tracheotomy or revision open-airway procedure.Results Infants who underwent LTP had a greater percentage of grade 3 subglottic stenosis (71%-99% obstruction) (P = .02, Fisher exact test). Mean age of patients was similar (3.7 months in the LTP group vs 2.8 months in the ACS group) with no significant difference on t test (P = .12). The operation-specific success rate was 81% (17 of 21) in the LTP group and 27% (3 of 11) in the ACS group (P = .006, Fisher exact test).
AB - Objective To compare the success rates of laryngotracheoplasty (LTP) with those of anterior cricoid split (ACS) performed over the same period in infants younger than 6 months.Design Case-control study.Setting Tertiary children's hospital.Participants Thirty-two infants younger than 6 months.Interventions Twenty-one infants younger than 6 months underwent single-stage LTP as an alternative to tracheotomy, and the outcomes were compared with those in 11 infants who underwent ACS as an alternative to tracheotomy.Main Outcome Measures Operation-specific success was defined as extubation without subsequent tracheotomy or revision open-airway procedure.Results Infants who underwent LTP had a greater percentage of grade 3 subglottic stenosis (71%-99% obstruction) (P = .02, Fisher exact test). Mean age of patients was similar (3.7 months in the LTP group vs 2.8 months in the ACS group) with no significant difference on t test (P = .12). The operation-specific success rate was 81% (17 of 21) in the LTP group and 27% (3 of 11) in the ACS group (P = .006, Fisher exact test).
U2 - 10.1001/archoto.2009.21
DO - 10.1001/archoto.2009.21
M3 - Article
C2 - 19451463
VL - 135
SP - 445
EP - 447
JO - Archive of Otolaryngology - Head and neck surgey
JF - Archive of Otolaryngology - Head and neck surgey
SN - 0886-4470
IS - 5
ER -