Laryngotracheal reconstruction without stenting

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(Free-Press-Release.com) July 14, 2009 -- About Dr. Rande Lazar

Dr. Rande Lazar is a Memphis Otolaryngologist with a primary focus in pediatric ear, nose and throat disorders, including ear infections, throat infections, tonsil infections, sinus infections and sleep disorders. Dr. Rande Lazar has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders. Dr. Rande Lazar is experienced in a wide range of disorders of the ear, nose, throat, sinus, respiratory system and the other head and neck systems, as well as children’s disorders of the larynx (voicebox), and hearing problems.

Other places where Dr. Rande Lazar can be found include:

* Dr Rande Lazar's LinkedIn Profile
* Functional Endoscopic Sinus Surgery blog by Dr. Rande Lazar

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.

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