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KMID : 0602819950010010122
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Korean Journal of Bronchoesophagology
1995 Volume.1 No. 1 p.122 ~ p.128
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Treatment of Subglottic Stenosis in Adults
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Abstract
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The experience with treatment of acquired subglottic stenosis in 20 adults is reviewed.
Nine of the 20 patients (45%) had opeated by other institues before treatment. Causes of the
diseases were 10(50%) of blunt neck trauama and 10(50%) of prolonged intubation. The most
common associated airway diseases were nine patients (45%) of bilateral vocal cord fixations.
Twelve patients (60%) underwent anterior cartilage grafts, five patient (25%) had anterior and
posterior cartilage grafts and three patients (15%) had end to end anastomosis according to
the severity of cricoid deformities and mucosal defects. Associated procedures were 9 patients
(45%) of arytenoidectomy. Thirteen of 20 patients (65%) have been decannulated. Female
group was significantly higher decannulation rate than male group (p=0.0074). Decannulation
rates were decreased from anterior cartilage graft group to anterior and posterior cartilage
frafts group and to end to end anastomosis group (p=0.00247), this finding suggested the
patients with severe cricoid deformitiy were higher likely hood of failure because we selected
the method used in this study according to the severity of cricoid deformities and mucosal
defects. Our results support the more aggressive treatment is indicated for subglottic stenosis
in adults.
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KEYWORD
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