[Diagnosis and treatment of laryngotracheal stenosis induced by relapsing polychondritis].

Objective

To investigate the clinical characteristics, management and prognosis of laryngotracheal stenosis induced by relapsing polychondritis. Method:A retrospective analysis was performed of 11 patients with laryngotracheal stenosis induced by relapsing polychondritis. Stenosis was classified as Myer and Cotton grade Ⅱ in 4 patients, grade Ⅲ in 3 and grade Ⅳin 4. Result:Long-term T-tube implantation of thoracic tracheal stenosis was performed in 1 patient, and one patient who had underwent 2 dilations was decannulated, and the tube was successfully extubated in 9 cases who had underwent laryngotracheal reconstruction with sternohyoid myocutaneous flap or costal cartilage.

Conclusion

Treatment of laryngotracheal stenosis induced by relapsing polychondritis is challenging. If the surgical intervention was selected properly on an individual basis, favorable clinical outcome can be obtained.