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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 36(4); 1993 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(4): 785-794.
A clinical analysis of laryngotracheal stenosis.
Jae Wook Eom, Seong Kook Park, Eun Pyo Park, Bong Whan Oh, Jae Wan Lee, Sang Cheol Lee, Chun Keun Park
후두 및 기관협착증의 임상적 고찰
엄재욱 · 박성국 · 박은표 · 오봉환 · 이재완 · 이상철 · 박춘근
인제대학교 의과대학 부산백병원 이비인후과학교실
ABSTRACT

Laryngotracheal stenosis is an uncommon, but it is one of the most troublesome diseases in the ENT field. The number of patients with laryngotracheal stenoses is increasing due to an increase in the chance of tracheostomy or prolonged orotracheal intubation caused by traffic accident. For more effective treatment of laryngotracheal stenosis, the authors analized 29 cases of laryngotracheal stenoses patients who have been managed in our department during the past five years. The results were as follows ; 1) In age and sex distribution, don't use the prononoun was fround most frequently in the group of patients in the third decade(31%), and more frequent in male than famale. 2) The causes of stenoses were : 11 cases(38%) from prolonged intubation, eight cases (27.6%) from direct trauma of neck, seven cases(24.2%) from tracheostomy and three cases(10.2%) from laryngeal surgery. 3) The sites of stenosis were : eight cases(27.6%) of trachea, eight cases(27.6%) of glottis and subglottis, six cases(21.6%) of subglottis, four cases(13.8%) of glottis and three cases(10.4%) of subglottis and trachea. 4) Conservative methods were used to manage five cases and surgical methods were used in 24 cases. Surgical methods included five cases of removal of granuloma with T-tube insertion, one case of reduction of arytenoid, two cases of arytenoidectomy with T-tube insertion, six cases of tracheal resection with end to end anastomosis and 11 cases of laryngoplasty with autogenous cartilage or bone graft.

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