For the recent 5 years, reconstructive operations were performed in nine patients of traumaticlaryngotracheal stenosis in our clinic.
The stenosis of three patients was caused by cervical blunt trauma, and that of six patientswas formed after tracheostomy.
The sites of stenosis were the glottic area (2 cases), the area from glottis to trachea (2cases), the transglottic area (1 case), and the trachea (4 cases).
For treatment of the stenosis, the reconstructive operation of open method was performed in3 cases and the operation of semiclosed method in 2 cases. The remainders were treated bythe conservative manipulation.
Silicone T-tube was used as a stent in 7 cases following the reconstructive operation.
In two patients treated by the open method, a composite graft of the nasal septum was usedto repair the anterior defect of the laryngeal or tracheal airway.
In two patients the cervical trauma was accompanied with foreign bodies, which could beextirpated by the open method under the X-ray fluoroscope.
By the above-mentioned operations, the decanulation from tracheostoma succeeded in allcases with the exception of one patient who is in a short time after the operation.
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