Pitfalls in preoperative management of acquired laryngeal stenosis. The problem of the hidden obstruction in the airway

Most acquired laryngeal stenoses in infants and children can be treated surgically with successful outcome. We describe two patient cases in which removal of such a stenosis did not result in decanulation, because another, hidden obstruction was present. This demonstrates the importance of preoperat...

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Bibliographic Details
Published in:	International journal of pediatric otorhinolaryngology 2002-05, Vol.64 (1), p.29-33
Main Authors:	Hoeve, L.J.Hans, van der Eerden, Paul A.
Format:	Article
Language:	eng
Subjects:	Airway Obstruction - diagnosis Airway Obstruction - surgery Biological and medical sciences Female Humans Infant Infant, Newborn Laryngostenosis - congenital Laryngostenosis - diagnosis Laryngostenosis - surgery Laryngotracheoplasty Larynx Medical sciences Non tumoral diseases Otorhinolaryngology. Stomatology Practice Guidelines as Topic Preoperative Care Preoperative management Stenosis Syndrome Syndromes with airway obstruction Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:	Most acquired laryngeal stenoses in infants and children can be treated surgically with successful outcome. We describe two patient cases in which removal of such a stenosis did not result in decanulation, because another, hidden obstruction was present. This demonstrates the importance of preoperative assessment to indicate factors that influence the outcome of surgery, especially in infants with a syndrome. Guidelines for preoperative management and an extensive list of syndromes in which a hidden obstruction can be suspected, are presented.
ISSN:	0165-5876 1872-8464