Larynx stenosis; a challenge for the ENT surgeons

Journal of Clinical and Investigative Surgery. 2018;3(2):77-81 DOI 10.25083/2559.5555/3.2/77.81

 

Journal Homepage

Journal Title: Journal of Clinical and Investigative Surgery

ISSN: 2559-5555 (Online)

Publisher: Digital ProScholar Media

Society/Institution: Digital ProScolar media

LCC Subject Category: Medicine

Country of publisher: Romania

Language of fulltext: English

Full-text formats available: PDF

 

AUTHORS

Șerban V. Bertesteanu (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)
Paula Pascu (Coltea Clinical Hospital, Department of Otorhinolaryngology, Bucharest, Romania)
Cristian Popescu (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)
Raluca Grigore (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)
Bogdan Popescu (Carol Davila University of Medicine and Pharmacy, Bucharest, Romania)

EDITORIAL INFORMATION

Double blind peer review

Editorial Board

Instructions for authors

Time From Submission to Publication: 12 weeks

 

Abstract | Full Text

Laryngo-tracheal stenosis is a complex pathology which requires multiple surgical interventions and diligence from the surgeon and patience from the patient so that normal physiology may be restored. The aim of this paper is to evaluate the factors that can influence the evolution of this pathology. It is presented a retrospective study in which 20 cases of larynx stenosis from 2008 until 2018 were evaluated. The study revealed a predominance of the pathology in men, especially from rural environment. The etiology of larynx stenosis was both iatrogenic and traumatic. Multiple surgical interventions classical and endoscopic were necessary, along with tracheostomy. In 7 cases there was the need for larynx stent to be mounted. There was no significant correlation between age, etiology and the site of stenosis and the removal of the tracheostomy. Larynx stenosis benefit in present by modern surgical techniques. Current therapeutic options include conservative therapy, endoscopic approach and external approach depending on the site, severity, morbidities of the stenosis. Even if technology is of great help in LS management of many patients, unfortunately there are still cases where therapy is very complex and with poor functional results.