Abstract

REYES SOLARTE, ANTONIO JOSÉ. LARYNGOTRACHEAL STENOSIS. CASE STUDIES IN CENTRO MÉDICO IMBANACO IN CALI, COLOMBIA. rev.fac.med [online]. 2012, vol.20, n.1, pp.74-83. ISSN 0121-5256.

The management of laryngotracheal stenosis remains a challenging problem for the otolaryngologist. The complexity of the various preoperative situations implies that no single treatment modality can solve the problem. I performed a retrospective analysis of our experience in Centro Médico Imbanaco in Cali, Colombia, with a series of patients with this condition between October 2006 and January 2011. The study involved retrospective review of the records of patients with laryngotracheal stenosis. Symptoms, antecedents, treatment, associate pathology, outcomes and follow up were examined. A total of 44 adults were identified, the mean age was 41,4 years, 24 were female (55%) and 20 were male. The mean followup time was 19 months. Twenty eight (63.6%) of these cases have been controlled effectively with endoscopy laser techniques. Best results were seen in Group I (100%) and Group II (83.3%). Endoscopic laser surgery is a valid approach for thinner, uncomplicated lesions; patients with thicker, complex lesions in whom endoscopic treatment fails are best managed with laryngotracheal resection a reconstruction, but endoscopic treatment may be considered before tracheal resection in select cases. Endoscopic treatment is associated with few complications, low morbidity, a short operative time, and a short length of hospitalization.

Keywords : Tracheal stenosis; laryngeal stenosis; laryngeal diseases; endoscopic surgical procedure; outcomes.

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