Archives of otolaryngology--head & neck surgery · 1997
Anterior cricoid split. Use of hyoid as autologous grafting material.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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McGuirt W F, Little J P, Healy G B
Аннотация
OBJECTIVE: To examine the use of hyoid as a readily available autologous grafting material for the anterior cricoid split (ACS) procedure.
DESIGN: Prospective analysis of 20 patients undergoing ACS with hyoid interposition grafting for subglottic stenosis over a 3-year period. The patients received at least 1 year of follow-up after surgery.
SETTING: Tertiary care children's hospital.
PATIENTS: Twenty infants (age range, 2-9 months) with endoscopically confirmed acquired and congenital subglottic stenosis. Presenting symptoms included stridor, failure to extubate, and recurrent atypical croup. All 20 children underwent ACS with hyoid interposition grafting.
RESULTS: All 20 patients exhibited improvement in their symptoms of airway obstruction. All 12 patients in whom extubation had previously failed subsequently underwent successful extubation. The 8 patients with symptoms of stridor and atypical croup showed marked improvement in their symptoms. Serial bronchoscopy revealed mucosal healing and incorporation of the hyoid grafts.
CONCLUSION: Hyoid provides a readily available and reliable grafting material for interposition grafting in the ACS procedure for neonates and infants.
DESIGN: Prospective analysis of 20 patients undergoing ACS with hyoid interposition grafting for subglottic stenosis over a 3-year period. The patients received at least 1 year of follow-up after surgery.
SETTING: Tertiary care children's hospital.
PATIENTS: Twenty infants (age range, 2-9 months) with endoscopically confirmed acquired and congenital subglottic stenosis. Presenting symptoms included stridor, failure to extubate, and recurrent atypical croup. All 20 children underwent ACS with hyoid interposition grafting.
RESULTS: All 20 patients exhibited improvement in their symptoms of airway obstruction. All 12 patients in whom extubation had previously failed subsequently underwent successful extubation. The 8 patients with symptoms of stridor and atypical croup showed marked improvement in their symptoms. Serial bronchoscopy revealed mucosal healing and incorporation of the hyoid grafts.
CONCLUSION: Hyoid provides a readily available and reliable grafting material for interposition grafting in the ACS procedure for neonates and infants.