METHODS: The clinical data of six children were retrospectively analyzed.
RESULTS: The median age of these children who came to our hospital was 14 months (range 1-26 months). A tracheotomy was performed in all these six children. The median age of the patients who underwent tracheotomy was 4 months (range 1-11 months). The surgical method was T-tube implantation combined with cricoid cartilage reconstruction. The median age of these patients at the time of operation was 22 months (range 13-35 months). The T-tube remained in place for 3-8 months, with a median time of 6 months. The tracheal tubes in all these children were successfully removed. All patients were followed up for more than 2 years without recurrence.
CONCLUSIONS: Children who have congenital laryngeal webs with subglottic stenosis required early tracheotomy. Open laryngoplasty combined with T-tube implantation and cricoid cartilage reconstruction may play a crucial role in the treatment of these children.
方法:对6例患儿的临床资料进行回顾性分析。
结果:这些来到我们医院的儿童的中位年龄为14个月(范围1-26个月)。这六个孩子都进行了气管切开术。接受气管切开术的患者的中位年龄为4个月(范围1-11个月)。手术方法为T管植入联合环状软骨重建。手术时这些患者的中位年龄为22个月(范围13-35个月)。T型管保持3-8个月,中位时间为6个月。所有这些孩子的气管导管都被成功移除。所有患者随访2年以上无复发。
结论:先天性喉网伴声门下狭窄的儿童需要早期气管切开术。开放喉成形术联合T管植入和环状软骨重建可能在这些儿童的治疗中起着至关重要的作用。