ORIGINAL ARTICLE   

Otorhinolaryngology 2023 June;73(2):33-9

DOI: 10.23736/S2724-6302.23.02457-X

Copyright © 2023 EDIZIONI MINERVA MEDICA

language: English

Surgical treatments and outcomes of acquired laryngotracheal stenosis: our experience

Carlo D’AURIA ¹, Massimo RINALDI ¹, Ferruccio MADARO ¹, Nicola QUARANTA ², Giada CAVALLARO ² ✉

¹ Unit of Otolaryngology, Miulli Hospital, Acquaviva delle Fonti, Bari, Italy; ² Unit of Otolaryngology, Department of Basic Medical Sciences, Neuroscience, and Sense Organs, University of Bari “Aldo Moro”, Bari, Italy

BACKGROUND: We report the ten-year experience of Unit of Otolaryngology, Miulli Hospital, concerning the surgical treatment of laryngotracheal stenosis (LTS).
METHODS: Retrospective observational study conducted on 48 patients.
RESULTS: Myer-Cotton staging used to standardize the measurement of laryngotracheal stenosis (LTS) showed a marked reduction up to grade I in 90% of patients treated with the endoscopic (“endo”) surgery technique and in 100% of patients treated with the open (“open”) surgery technique. There was no statistical significance between the “endo” group and the “open” group for the percentage of decannulation: (100% for “open” surgery techniques. 62% for “endo” surgery technique). The clinical target is achieved almost for the patients of both groups with a slightly higher percentage for the group “open” (100% vs. 90%). There were no statistically significant differences for the reintervention parameter in relation to the different treatment modalities (“endo” =36% vs. “open” =17%) or to the main sites of stenosis (laryngotracheal =40%, tracheal =33%, laryngeal =31%).
CONCLUSIONS: The surgical outcomes confirm the good efficacy of the work carried out up to now. We hope to be able to objective, through instrumental methods or questionnaires, the pre and postoperative clinical condition of LTS patients undergoing “open” or “endo” surgery.

KEY WORDS: Larynx; Trachea; Abnormalities