Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.
Identifieur interne : 000498 ( PubMed/Corpus ); précédent : 000497; suivant : 000499Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.
Auteurs : Eréa-Noël Garabedian ; Stéphane Pezzettigotta ; Nicolas Leboulanger ; Robert Harris ; Jérôme Nevoux ; Françoise Denoyelle ; Gilles RogerSource :
- Archives of otolaryngology--head & neck surgery [ 1538-361X ] ; 2010.
English descriptors
- KwdEn :
- Child, Preschool, Female, Humans, Infant, Infant, Newborn, Laryngeal Diseases (congenital), Laryngeal Diseases (surgery), Laryngoscopy, Larynx (abnormalities), Larynx (surgery), Laser Therapy (methods), Male, Postoperative Complications, Reoperation, Retrospective Studies, Trachea (abnormalities), Trachea (surgery), Tracheal Diseases (congenital), Tracheal Diseases (surgery), Treatment Outcome.
- MESH :
- abnormalities : Larynx, Trachea.
- congenital : Laryngeal Diseases, Tracheal Diseases.
- methods : Laser Therapy.
- surgery : Laryngeal Diseases, Larynx, Trachea, Tracheal Diseases.
- Child, Preschool, Female, Humans, Infant, Infant, Newborn, Laryngoscopy, Male, Postoperative Complications, Reoperation, Retrospective Studies, Treatment Outcome.
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:20083782Le document en format XML
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<author><name sortKey="Garabedian, Erea Noel" sort="Garabedian, Erea Noel" uniqKey="Garabedian E" first="Eréa-Noël" last="Garabedian">Eréa-Noël Garabedian</name>
<affiliation><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>
</affiliation>
</author>
<author><name sortKey="Pezzettigotta, Stephane" sort="Pezzettigotta, Stephane" uniqKey="Pezzettigotta S" first="Stéphane" last="Pezzettigotta">Stéphane Pezzettigotta</name>
</author>
<author><name sortKey="Leboulanger, Nicolas" sort="Leboulanger, Nicolas" uniqKey="Leboulanger N" first="Nicolas" last="Leboulanger">Nicolas Leboulanger</name>
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<author><name sortKey="Harris, Robert" sort="Harris, Robert" uniqKey="Harris R" first="Robert" last="Harris">Robert Harris</name>
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<author><name sortKey="Nevoux, Jerome" sort="Nevoux, Jerome" uniqKey="Nevoux J" first="Jérôme" last="Nevoux">Jérôme Nevoux</name>
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<author><name sortKey="Denoyelle, Francoise" sort="Denoyelle, Francoise" uniqKey="Denoyelle F" first="Françoise" last="Denoyelle">Françoise Denoyelle</name>
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<author><name sortKey="Roger, Gilles" sort="Roger, Gilles" uniqKey="Roger G" first="Gilles" last="Roger">Gilles Roger</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.</title>
<author><name sortKey="Garabedian, Erea Noel" sort="Garabedian, Erea Noel" uniqKey="Garabedian E" first="Eréa-Noël" last="Garabedian">Eréa-Noël Garabedian</name>
<affiliation><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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<author><name sortKey="Pezzettigotta, Stephane" sort="Pezzettigotta, Stephane" uniqKey="Pezzettigotta S" first="Stéphane" last="Pezzettigotta">Stéphane Pezzettigotta</name>
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<author><name sortKey="Leboulanger, Nicolas" sort="Leboulanger, Nicolas" uniqKey="Leboulanger N" first="Nicolas" last="Leboulanger">Nicolas Leboulanger</name>
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<author><name sortKey="Harris, Robert" sort="Harris, Robert" uniqKey="Harris R" first="Robert" last="Harris">Robert Harris</name>
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<author><name sortKey="Nevoux, Jerome" sort="Nevoux, Jerome" uniqKey="Nevoux J" first="Jérôme" last="Nevoux">Jérôme Nevoux</name>
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<author><name sortKey="Denoyelle, Francoise" sort="Denoyelle, Francoise" uniqKey="Denoyelle F" first="Françoise" last="Denoyelle">Françoise Denoyelle</name>
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<author><name sortKey="Roger, Gilles" sort="Roger, Gilles" uniqKey="Roger G" first="Gilles" last="Roger">Gilles Roger</name>
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<series><title level="j">Archives of otolaryngology--head & neck surgery</title>
<idno type="eISSN">1538-361X</idno>
<imprint><date when="2010" type="published">2010</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Laryngeal Diseases (congenital)</term>
<term>Laryngeal Diseases (surgery)</term>
<term>Laryngoscopy</term>
<term>Larynx (abnormalities)</term>
<term>Larynx (surgery)</term>
<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>
<term>Tracheal Diseases (surgery)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Larynx</term>
<term>Trachea</term>
</keywords>
<keywords scheme="MESH" qualifier="congenital" xml:lang="en"><term>Laryngeal Diseases</term>
<term>Tracheal Diseases</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Laser Therapy</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Laryngeal Diseases</term>
<term>Larynx</term>
<term>Trachea</term>
<term>Tracheal Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Child, Preschool</term>
<term>Female</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Laryngoscopy</term>
<term>Male</term>
<term>Postoperative Complications</term>
<term>Reoperation</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<front><div type="abstract" xml:lang="en">To present the indications, techniques, results, and limitations of endoscopic surgical treatment of laryngotracheal cleft.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">20083782</PMID>
<DateCreated><Year>2010</Year>
<Month>01</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted><Year>2010</Year>
<Month>02</Month>
<Day>25</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1538-361X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>136</Volume>
<Issue>1</Issue>
<PubDate><Year>2010</Year>
<Month>Jan</Month>
</PubDate>
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<Title>Archives of otolaryngology--head & neck surgery</Title>
<ISOAbbreviation>Arch. Otolaryngol. Head Neck Surg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Endoscopic surgical treatment of laryngotracheal clefts: indications and limitations.</ArticleTitle>
<Pagination><MedlinePgn>70-4</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1001/archoto.2009.197</ELocationID>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Garabedian</LastName>
<ForeName>Eréa-Noël</ForeName>
<Initials>EN</Initials>
<AffiliationInfo><Affiliation>Service d'Oto-Rhino-Laryngologie et de Chirurgie Cervico-faciale, Hôpital d'Enfants Armand-Trousseau, 26 Av du Dr Netter, 75012 Paris, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Leboulanger</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D002675">Child, Preschool</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011183">Postoperative Complications</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012086">Reoperation</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014133">Tracheal Diseases</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000151">congenital</QualifierName>
<QualifierName MajorTopicYN="Y" UI="Q000601">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D016896">Treatment Outcome</DescriptorName>
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