Clinical Analysis for Laryngotracheal Stenosis

The absolute number of patients with laryngotracheal stenosis have increased inspite of the development in new treatment methods. The multitude of methods described by different surgeons indicates that no single treatment has been universally successful. To research more effective treatment methods for laryngotracheal stenosis, we analized 39 patients(50 operations) who were treated at Chonbuk National University Hospital from Mar. 1986 to Aug. 1992. The results were as follows; The age distributions were followed as 10 cases in 6th decade and 7 cases in 4th and 7th decade, and shows relatively even distribution. Among the 39 cases, 27 cases were in male and 12 cases were in female. The etiologies were tracheotomy 29 cases, blunt neck trauma 5 cases, prolonged intubation 2 cases, laryngeal papilloma 2 cases and others 1 case. The primary diseases were followed as head trauma 17 cases, CVA 10 cases, neck trauma and laryngeal fracture 6 cases, vocal cord papilloma 2 cases, neck laceration 2 cases, tumor 2 cases and vocal polyposis 1 case. The sites of stenosis were followed glottis 5 cases, subglottis and trachea 14 cases, and trachea 20 cases. The methods of treatment were used as surgery all cases. On the results of treatments, the tracheal stenosis was relatively better than the subglottic and tracheal stenosis, and glottic web were revealed good results.