Irradiated homologous costal cartilage grafts for single-stage open airway reconstruction in severe subglottic stenosis for children under the age of one

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dc.contributor.authorKherani, Safeena
dc.contributor.authorNoel, Christopher W.
dc.contributor.authorNazir, Tanvir
dc.contributor.authorEl-Bitar, Mohamed A.
dc.contributor.departmentOtolaryngology/Head and Neck Surgery
dc.contributor.facultyFaculty of Medicine (FM)
dc.contributor.institutionAmerican University of Beirut
dc.date.accessioned2025-01-24T12:09:29Z
dc.date.available2025-01-24T12:09:29Z
dc.date.issued2020
dc.description.abstractWe present two cases of premature infants with Cotton-Myer grade 3 subglottic stenosis where endoscopic balloon dilation failed. In an attempt to avoid tracheostomy, both patients underwent open single stage anterior graft larnygotracheoplasty (LTP) with irradiated homologous rib and temporalis fascia grafts. After postoperative reconstruction, the airway was resized to grade 1 in one child, and to grade 2 in the other. One child remained free of stridor post-operatively and avoided the need of a tracheostomy tube. The other child ultimately required a tracheostomy, though she is now in the process of being decannulated. Homologous costal cartilage grafts in open anterior airway LTP may be a reasonable alternative to tracheostomy in young patients with advanced SGS. © 2020 Elsevier B.V.
dc.identifier.doihttps://doi.org/10.1016/j.ijporl.2020.110167
dc.identifier.eid2-s2.0-85086464343
dc.identifier.pmid32535496
dc.identifier.urihttp://hdl.handle.net/10938/32070
dc.language.isoen
dc.publisherElsevier Ireland Ltd
dc.relation.ispartofInternational Journal of Pediatric Otorhinolaryngology
dc.sourceScopus
dc.subjectHomograft
dc.subjectLaryngotracheoplasty
dc.subjectReconstruction
dc.subjectResorption
dc.subjectSubglottic stenosis
dc.subjectConstriction, pathologic
dc.subjectCostal cartilage
dc.subjectDilatation
dc.subjectEndoscopy
dc.subjectFemale
dc.subjectHumans
dc.subjectInfant
dc.subjectInfant, premature
dc.subjectLaryngoplasty
dc.subjectLaryngostenosis
dc.subjectTracheostomy
dc.subjectArticle
dc.subjectBalloon dilatation
dc.subjectCase report
dc.subjectClinical article
dc.subjectFailure to thrive
dc.subjectHemangioma
dc.subjectHuman
dc.subjectLaser surgery
dc.subjectOpen single stage anterior graft laryngotracheoplasty
dc.subjectOpen surgery
dc.subjectPostoperative period
dc.subjectPrematurity
dc.subjectPriority journal
dc.subjectRespiratory distress
dc.subjectRib graft
dc.subjectStridor
dc.subjectTreatment failure
dc.subjectLarynx stenosis
dc.subjectPathology
dc.subjectProcedures
dc.subjectRib cartilage
dc.subjectStenosis, occlusion and obstruction
dc.subjectTransplantation
dc.titleIrradiated homologous costal cartilage grafts for single-stage open airway reconstruction in severe subglottic stenosis for children under the age of one
dc.typeArticle

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