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Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.

Identifieur interne : 000498 ( PubMed/Corpus ); précédent : 000497; suivant : 000499

Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.

Auteurs : Eréa-Noël Garabedian ; Stéphane Pezzettigotta ; Nicolas Leboulanger ; Robert Harris ; Jérôme Nevoux ; Françoise Denoyelle ; Gilles Roger

Source :

RBID : pubmed:20083782

English descriptors

Abstract

To present the indications, techniques, results, and limitations of endoscopic surgical treatment of laryngotracheal cleft.

DOI: 10.1001/archoto.2009.197
PubMed: 20083782

Links to Exploration step

pubmed:20083782

Le document en format XML

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<title xml:lang="en">Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.</title>
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<name sortKey="Garabedian, Erea Noel" sort="Garabedian, Erea Noel" uniqKey="Garabedian E" first="Eréa-Noël" last="Garabedian">Eréa-Noël Garabedian</name>
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<nlm:affiliation>Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, Hôpital d'Enfants Armand-Trousseau, 26 Av du Dr Netter, 75012 Paris, France.</nlm:affiliation>
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<name sortKey="Pezzettigotta, Stephane" sort="Pezzettigotta, Stephane" uniqKey="Pezzettigotta S" first="Stéphane" last="Pezzettigotta">Stéphane Pezzettigotta</name>
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<name sortKey="Leboulanger, Nicolas" sort="Leboulanger, Nicolas" uniqKey="Leboulanger N" first="Nicolas" last="Leboulanger">Nicolas Leboulanger</name>
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<name sortKey="Harris, Robert" sort="Harris, Robert" uniqKey="Harris R" first="Robert" last="Harris">Robert Harris</name>
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<name sortKey="Nevoux, Jerome" sort="Nevoux, Jerome" uniqKey="Nevoux J" first="Jérôme" last="Nevoux">Jérôme Nevoux</name>
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<term>Infant, Newborn</term>
<term>Laryngeal Diseases (congenital)</term>
<term>Laryngeal Diseases (surgery)</term>
<term>Laryngoscopy</term>
<term>Larynx (abnormalities)</term>
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<term>Laser Therapy (methods)</term>
<term>Male</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Trachea (abnormalities)</term>
<term>Trachea (surgery)</term>
<term>Tracheal Diseases (congenital)</term>
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<term>Treatment Outcome</term>
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<div type="abstract" xml:lang="en">To present the indications, techniques, results, and limitations of endoscopic surgical treatment of laryngotracheal cleft.</div>
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<Title>Archives of otolaryngology--head & neck surgery</Title>
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<ArticleTitle>Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To present the indications, techniques, results, and limitations of endoscopic surgical treatment of laryngotracheal cleft.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective case note study (2005-2009).</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Department of Otolaryngology-Head and Neck Surgery, Armand Trousseau Children's Hospital, Paris, France.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Eleven patients who underwent endoscopic cleft closure as a primary (n = 8) or secondary (n = 3) procedure among 22 patients treated for laryngotracheal clefts. We report patients' demographics, symptoms leading to the diagnosis, endoscopic evaluation method, medical examination results, and surgical techniques.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Endoscopic closure of the cleft under spontaneous ventilation via 2-layer interrupted sutures after excision of the mucosal edge using a carbon dioxide laser in 10 patients and a thulium laser in 1.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Analysis of postoperative complications, revision surgery, need for intensive care unit admission, closure of the cleft, and long-term symptom results.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Successful closure of the 11 clefts (with revision surgery in 3 patients) without the need for intubation or intensive care unit admission enabled the elimination of aspiration in 10 patients and significant improvement in 1 patient with bilateral vocal cord paralysis. There were no significant postoperative complications.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Endoscopic closure of laryngotracheal clefts is a reliable technique that significantly reduces perioperative and postoperative morbidity. The results of this technique are entirely satisfactory, and we suggest that it is suitable as a primary procedure for the treatment of type I, II, and III clefts extending to the cervical trachea, including in neonates.</AbstractText>
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