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Abstract：
The aim of this article is to present experiences of the Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center with the treatment of patients with subglottic stenosis. Subglottic stenosis is a rare congenital or acquired disorder of airway patency that is part of a wider complex of disorders known as laryngotracheal stenosis with the ultimate effect in the form of respiratory insufficiency that can be life-threatening. As an acquired condition, it is most often the result of iatrogenic damage to the larynx and trachea during invasive airway management, whether it is intubation or tracheotomy. In the case of intubation as the etiologic factor, cases of prolonged intubation were most common. Retrospective analysis of patient medical histories over a ten-year period was performed and 29 patients met the inclusion criteria. All patients were monitored for at least two years after completion of treatment. Out of a total of 29 treated patients, 20 were permanently decannulated, of which 4 have paresis of one or both vocal cords. In conclusion, there is no clear treatment protocol for patients with subglottic stenosis. The optimal modality of treatment is combined endoscopic and open surgical treatment.
摘要：
本文的目的是介绍耳鼻咽喉头颈外科的经验，萨格勒布大学医院中心治疗声门下狭窄患者。声门下狭窄是一种罕见的先天性或获得性气道通畅障碍，是称为喉气管狭窄的更广泛疾病的一部分，最终以可能危及生命的呼吸功能不全的形式产生影响。作为一种后天条件，这通常是在侵入性气道管理期间对喉和气管的医源性损伤的结果，无论是插管还是气管切开。在插管作为病因的情况下，长时间插管的情况是最常见的。对超过十年的患者病史进行了回顾性分析，有29名患者符合纳入标准。所有患者在完成治疗后至少监测两年。在总共29名接受治疗的患者中，20个被永久拔管，其中4个有一个或两个声带的麻痹。总之,声门下狭窄患者没有明确的治疗方案.最佳治疗方式是内窥镜和开放手术治疗相结合。
