Laryngotracheoplasty as an alternative to tracheotomy in infants younger than 6 months

D.R. White, M. Bravo, Shyan Vijayasekaran, M.J. Rutter, R.T. Cotton, R.G. Elluru

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    23 Citations (Scopus)

    Abstract

    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).
    Original languageEnglish
    Pages (from-to)445-447
    JournalArchive of Otolaryngology - Head and neck surgey
    Volume135
    Issue number5
    DOIs
    Publication statusPublished - 2009

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