Revision Pediatric Laryngotracheal Reconstruction
Surgeons who make airway reconstruction a major part of their practice inevitably are faced with children in whom initial surgical management fails. Searching for the possible causes of failure and…
OTOLARYNGOLOGY
Minimally Invasive Techniques in Laryngotracheal Reconstruction
The treatment of laryngotracheal stenosis has evolved over the past several decades. Advances in technology, equipment and medication have increased our ability to treat some airway stenosis in a minimally…
Single-Stage and Multistage Pediatric Laryngotracheal Reconstruction
Acquired pediatric laryngotracheal stenosis almost always results from prolonged intubation for prematurity. An understanding of the process by which this occurs helps in prevention and treatment. Before deciding to perform…
Laryngeal Cleft
Laryngeal clefts are rare congenital anomalies, first described in 1792 by Richter, that allow communication between the tracheal and esophageal axis. The incidence is 1 in 10,000 to 20,000 births,…
Subglottic Hemangioma
Subglottic hemangioma is a rare condition that can be potentially life threatening because of airway obstruction. It is common for subglottic hemangioma to be misdiagnosed as croup initially. Infants with…
Bilateral Vocal Cord Paralysis in Children
Bilateral vocal cord paralysis in children with its many causes presents a challenging problem to the pediatric otolaryngologist. Traditionally, management of bilateral vocal cord paralysis includes securing the airway with…
Congenital Laryngeal Stenosis
Congenital subglottic stenosis is rare and as a consequence may not be considered in children experiencing respiratory difficulty at birth. Diagnosis after a child already is intubated complicates the recognition…
The Anterior Laryngeal Webs
Anterior laryngeal webs can be congenital or acquired and occur secondary to a surgical procedure, intubation, or infection. Clinical presentation can include vocal and respiratory symptoms. The first step in…
The Surgical Management of Laryngomalacia
Laryngomalacia is the most common laryngeal anomaly and cause of stridor in newborns. Up to 20% of infants with laryngomalacia present with life-threatening disease that necessitates surgical management in the…
History of Pediatric Laryngotracheal Reconstruction
In the early twentieth century, John Winslow wrote that there was no more difficulty in laryngology than treating chronic stenosis of the larynx and trachea. Winslow described cases as “excessively…
