Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s1.05
Treatment of Subglottic Stenosis: A Single Institution Experience
Drago Prgomet
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia
Dinko Leović
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia; School od Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivana Šimić
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia; Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb, Croatia
Ika Gugić-Radojković
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Hrvoje Feljan
; Radiochirurgia Zagreb Special Hospital, Zagreb, Croatia
Igor Blivajs
; Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Sažetak
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.
Ključne riječi
Subglottic stenosis; Surgical treatment; Airway management Complications
Hrčak ID:
307447
URI
Datum izdavanja:
1.4.2023.
Posjeta: 280 *