Abstract
OBJECTIVE: To describe our experience in the management of laryngotracheal stenosis (LTS). STUDY DESIGN: Prospective study. MATERIALS AND METHODS: This study was carried out from 2001 to 2004 on 30 cases. All cases were investigated by spiral computerized tomography and endoscopic examination. RESULTS: There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically significant difference between decannulated and nondecannulated group for site and length of stenosis. CONCLUSION: Patients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.