Reconstructive surgeries on the larynx and cervical trachea in children

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Introduction. One of the urgent problems in pediatric surgery and otorhinolaryngology is stenosis of the upper respiratory tract in children. Among many causes leading to airway narrowing , basic ones are: cicatricial stenosis, bilateral vocal cord paralysis and volumetric formations.

Diagnostics. Currently, fibroscopy of the upper respiratory tract is a gold standard of this pathology examination.

Methods. There are many surgical techniques to treat upper airway stenosis, but currently there is no any unified approach to the choice of surgical tactics. The given article presents an overview on modern techniques of reconstructive surgery which have demonstrated good and excellent results and a high percentage of decannulation. Among them, there are two basic ones - endoluminal surgery and open surgery. Recently, reports on the effectiveness of microsurgical interventions have been published , namely, reinnervation of the larynx to restore vocal cords. The most effective endoscopic surgeries in pediatrics are balloon dilation, bougienage and CO2- laser treatment. Patients with stenosis of stages III-IV, with extended stenosis, marked laryngomalacia, larynx and trachea deformity because of unsuccessful previous surgeries are recommended to have open reconstructive surgery. Laryngoplasty, laryngoplasty with T-tube and crico-tracheal resection are regarded as a choice option in case of ineffective previous surgeries.

Conclusion. Thus, type of surgical intervention, indications and patient’s age for surgery are chosen individually for each patient with upper respiratory tract stenosis.

作者简介

A. Razumovsky

N.I. Pirogov Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0003-3511-0456
Moscow, 117997 俄罗斯联邦

D. Strizhova

N.I. Pirogov Medical University

编辑信件的主要联系方式.
Email: strizhova_d@mail.ru
ORCID iD: 0000-0002-1558-1077

Daria N. Strizhova, MD, post-graduate student at the chair of pediatric surgery

Moscow, 117997

俄罗斯联邦

参考

  1. Богомильский М.Р., Разумовский А.Ю., Митупов З.Б. Диагностика и хирургическое лечение хронических стенозов гортани у детей. М. ГЭОТАР-Медиа, 2007.
  2. Nair S., Nilakantan A., Sood A., Gupta At., Gupta A. Challenges in the Management of Laryngeal Stenosis. Indian J Otolaryngol Head Neck Surg. 2016; 68(3): 294–9.
  3. Gerber M.E., Chen J.L. Laryngeal Stenosis. Available at: https://emedicine.medscape.com/article/867177-overview (Updated: Jun 18, 2018)
  4. Bitar M.A., Al Barazi R., Barakeha R. Airway reconstruction: review of an approach to the advanced-stage laryngotracheal stenosis. Brazilian Journal of Otorhinolaryngology 2017;83(3): 3: 299-312.
  5. Kumar P., Kaushal D., Garg P.K., Gupta N., Goyal J.P. Subglottic hemangioma masquerading as croup and treated successfully with oral propranolol. Lung India. 2019; 36(3): 233–5.
  6. Mandour M., Remacle M., Van de Heyning P., Elwany S., Gaafar A. T.A. Chronic subglottic and tracheal stenosis: endoscopic management vs surgical reconstruction. Eur Arch Otorhinolaryngol. 2003;260(7):374-80.
  7. Reilly B.K., Schloegel L.J., Patel N.J. Laryngotracheal Reconstruction (2016). Available at: https://emedicine.medscape.com/article/2051445-overview (Updated: Apr 08, 2016)
  8. Cotton R.T., Pediatric laryngeal stenosis. J Pediatr Surg. 1984;19(6):699–704.
  9. Karas A.F., Patki A., Ryan M.A., Upchurch P.A., Eapen R.J., Raynor E.M. Outcomes of vocal fold immobility after pediatric cardiovascular surgery. Otolaryngol Open J. 2019; 5(2): 29-33.
  10. Amir M., Youssef T. Congenital glottic web: management and anatomical observation. The Clinical Respiratory Journal 2010; (4): 202–7.
  11. Ahmed H., Ndiaye C., Barry M. W., Thiongane A., Mbaye A., Zemene Y., Ndiaye I. C. A Rare Cause of Upper Airway Obstruction in a Child. Case Rep Otolaryngol. 2017;2017:2017265.
  12. Chinn S.B., Collar R.M., McHugh J.B., Hogikyan N.D., Thorne M.C. Pediatric Laryngeal Neurofibroma: Case Report and Review of the Literature. Int J Pediatr Otorhinolaryngol. 2014; 78(1): 142–7.
  13. Williamson A.J., Shermetaro C. Unilateral Vocal Cord Paralysis (2019). Available at: https://pubmed.ncbi.nlm.nih.gov/30571041/ (Publishing, 11 August 2020).
  14. Ekbom D.C., Garrett C.G., Yung K.C., Johnson F.L., Billante C.R., Zealear D.L., Courey M.S. Botulinum toxin injections for new onset bilateral vocal fold motion impairment in adults. Laryngoscope. 2010;120(4):758-63.
  15. Sittel С., Pathologies of the larynx and trachea in childhood. Otorhinolaryngol Head Neck Surg 2014;13:Doc09.
  16. Хомутченко А.Б. Баллонная дилатация рубцовых стенозов гортани. Forcipe, 2020;3: 626-7.
  17. Wentzel J.L., Ahmad S.M., Discolo C.M., et al. Balloon laryngoplasty for pediatric laryngeal stenosis: Case series and systematic review. Laryngoscope. 2014;124(7):1707-12.
  18. Chuenga K., Chadha N.K. Primary dilatation as a treatment for pediatric laryngotracheal stenosis: A systematic review. International Journal of Pediatric Otorhinolaryngology 2013;77(5):623-8.
  19. Günaydına R.O., Münir N.S., Oguz D.B., Yılmaza K.T., Ünalb O.F., U. Akyol Endolaryngeal dilatation versus laryngotracheal reconstruction in the primary management of subglottic stenosis. International Journal of Pediatric Otorhinolaryngology. 2014;78(8):1332-6.
  20. Berkowitz R.G. Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis. Otolaryngol Head Neck Surg. 2007;136(4):649–52.
  21. Sapundzhiev N., Lichtenberger G., Eckel H.E., Friedrich G., Zenev I., Toohill R.J., Werner J.A. Surgery of adult bilateral vocal fold paralysis in adduction: history and trends. Eur Arch Otorhinolaryngol. 2008;265(12):1501-14.
  22. McGuirt W.F., Salmon J., Blalock D. Normal speech for patients with laryngeal webs: an achievable goal. Laryngoscope. 1984;94:1176–80.
  23. Young V.N., Rosen C.A. Arytenoid and posterior vocal fold surgery for bilateral vocal fold immobility. Otolaryngol Head Neck Surg. 2011;19(6):422-7.
  24. Li Y., Garrett G., Zealear D. Current treatment options for bilateral vocal fold paralysis: a state-of-the-art review. Otorhinolaryngol 2017;10:203–12.
  25. Kirchner F.R. Endoscopic lateralization of the vocal cord in abductor paralysis of the larynx. Laryngoscope. 1979;89(11):1779–83.
  26. Ejnell H., Bake B., Hallen O., et al. New simple method of laterofixation and its efects on orolaryngeal airway resistance and fonation. Acta Otolaryngol. 1982;386:196–7.
  27. Remsen K., Lawson W., Patel N., et al. Laser lateralization for bilateral vocal cord abductor paralysis. Otolaryngol Head Neck Surg. 1985; 93(5): 645–9.
  28. Бакумов В.Н., Егоров В.М., Набатова Е.А. Эндоларингеальная микрохирургия в лечении патологии гортани. Российская оториноларингология. 2002; (1): 15-6.
  29. Su W.F., Liu S.C., Tang W.S., Yang M.C., Lin Y.Y., Huang T.T. Suture lateralization in patients with bilateral vocal fold paralysis. J Voice. 2014;28(5):644-51.
  30. Dahl, J.P., Purcell, P.L., Parikh, S.R., Inglis, A.F. Endoscopic posterior cricoid split with costal cartilage graft: A fifteen-year experience. The Laryngoscope. 2017;127(1): 252–7.
  31. Inglis Jr A.F., Perkins J.A., Manning S.C., et al: Endoscopic posterior cricoid split and rib grafting in 10 children. Laryngoscope. 2003;113:2004-9.
  32. Gerber M.E., Modi V.K., Ward R.F., Gower V.M., Thomsen J. Endoscopic posterior cricoid split and costal cartilage graft placement in children. Otolaryngol Head Neck Surg. 2013;148(3):494-502.
  33. Koempel J.A., Cotton R.T. History of pediatric laryngotracheal reconstruction. Otolaryngol Clin North Am. 2008; 41(5):825-35.
  34. Ochi J.W., Evans J.N., Bailey C.M., Pediatric airway reconstruction at Great Ormond Street: a ten-year review. I. Laryngotracheoplasty and laryngotracheal reconstruction, Ann. Otol. Rhinol. Laryngol. 1992;101(6):465—8.
  35. Smith L.P., Zur K.B., Jacobs I.N. Single- vs double-stage laryngotracheal reconstruction. Arch Otolaryngol Head Neck Surg. 2010;136(1):60-5.
  36. Плужников М.С., Рябова М.А., Карпищенко С.А. Хронические стенозы гортани. Санкт-Петербург. 2004; (1): 206.
  37. Cotton R.T., Myer C.M. 3rd, O’Connor D.M., Smith M.E. Pediatric laryngotracheal reconstruction with cartilage grafts and endotracheal tube stenting: the single-stage approach. Laryngoscope. 1995; 105(8): 818-21.
  38. Montgomery W.W. T-tube tracheal stent. Arch. Otolaryngol. 1965; 82: 320-1.
  39. Aboulker P., Sterkeus J.M., Demaldent J.E., Modifications apportees l’intervention de Rethi, interest dans les stenosis laryngo-tracheales et tracheales, Ann. Otolaryngol. 1996;83:98–106.
  40. Monnier P. A new stent for the management of adult and pediatric laryngotracheal stenosis. Laryngoscope. 2003; 113(8):1418-22.
  41. Alshammari J., Monnier P.. Airway stenting with the LT-Mold™ for severe glotto-subglottic stenosis or intractable aspiration: experience in 65 cases. Eur Arch Otorhinolaryngol. 2012; 269(12):2531-8.
  42. Mitsuoka M., Sakuragi T., Itoh T. Clinical benefits and complications of Dumon stent insertion for the treatment of severe central airway stenosis or airway fistula. Gen Thorac Cardiovasc Surg. 2007;55:275-80.
  43. Saghebi S.R, Zangi M., Tajali T., et al. The role of T-tubes in the management of airway stenosis. Eur J Cardiothorac Surg. 2013;43:934-9.
  44. Abbasidezfouli A., Shadmehr M.B., Arab M., et al. Postintubation multisegmental tracheal stenosis: treatment and results. Ann Thorac Surg 2007;84:211-4.
  45. Wu F.J., Hu H.H., Hu S.H., et al. Application of T-tube placement in treating post-tracheotomy tracheal stenosis after two-way airway recanalization. Chin J Tuberc Res Dis 2017;40:477-9.
  46. Carretta A., Casiraghi M., Melloni G., et al. Montgomery T-tube placement in the treatment of benign tracheal lesions. Eur J Cardiothorac Surg 2009;36:352-6.
  47. Liu H.C., Lee K.S., Huang C.J., et al. Silicon T-tube for complex laryngotracheal problems. Eur J Cardiothorac Surg 2002;21:326-30.
  48. Li Z.G., Li Q., Zhou W.Z., et al. Treatment of subglottic benign tracheal stenosis with Montgomery T tube under rigid bronchoscope. Chin J Tuberc Res Dis. 2014;37:308-9.
  49. Hoetzenecker K., Schweiger T., Denk-Linnert D.M., Klepetko W. Pediatric airway surgery. Journal of thoracic disease. 2017;9(6): 1663-71.
  50. Shaw R.R., Paulson D.L., Kee J.L. Traumatic tracheal rupture. J. Thorac. Cardiovasc. Surg. 1961;42: 281–97.
  51. Ogura J., Powers W.: Functional restitution of traumatic stenosis of the larynx and pharynx. Laryngoscope. 1964;74:1081– 110.
  52. Gerwat J., Bryce D.P.: Management of subglottic laryngeal stenosis by resection and direct anastomosis. Laryngoscope. 1974;84:940–57.
  53. Ranne R.D., Lindley S., Holder T.M., et al. Relief of sub- glottic stenosis by anterior cricoid resection: an operation for the difficult case. J. Pediatr. Surg. 1991;26:255–8.
  54. Rutter M.J., Hartley B.E., Cotton R.T.: Cricotracheal resection in children. Arch. Otolaryngol. Head Neck Surg. 2001;127:289–92.
  55. Garabedian E.N., Nicollas R., Roger G., et al. Cricotracheal resection in children weighing less than 10 kg. Arch. Otolaryngol. Head Neck Surg. 2005;131(6):505–8.
  56. Monnier P., Ikonomidis C., Jaquet Y., et al. Proposal of a new classification for optimising outcome assessment following partial cricotracheal resections in severe pediatric subglottic stenosis. Int. J. Pediatr. Otorhinolaryngol. 2009;73:1217–21.
  57. Monnier P. Pediatric Airway Surgery. Management of Laryngotracheal Stenosis in Infants and Children. Springer-Verlag Berlin Heidelberg, 2011; 285-99.
  58. Czesak M.A., Osuch-Wójcikiewicz E., Niemczyk K. Methods of surgical treatment of bilateral vocal fold paralysis. Endokrynologia Polska. 2020; 71(4):350-8.
  59. Miehlike A. Rehabilitation of vocal cord paralysis. Studies using the vagus recurrent bypass anastomosis, type ramus posterior shunt. Arch Otolaryngol. 1974;100(6):431–41.
  60. Li M., Zheng H., Chen S., et al. Selective reinnervation using phrenic nerve and hypoglossal nerve for bilateral vocal fold paralysis. Laryngoscope. 2019;129(11): 2669–73.

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