Endoscopic laryngeal tracheoplasty with balloon dilation in the management of congenital and aquired chronic laryngeal stenosis in children

Abstract

Objective: To analyze the experience of balloon dilatation application in the management of infraglottic larynx section stenosises in children. Results: 14 patients had been treated with endoscopic balloon laryngotracheoplasty at the period of February, 2014 through May, 2015. The average age as of the surgery date was 6 years 2 months. The minimum age was 10 months, the maximum age was 10 years 5 months. In our observation, satisfactory result, i.e. clinical and objective stenosis regression, was observed in 14 out of 14 patients. All the children left the hospital in satisfactory condition. The average hospitalization period was 14±2 days. 4 out of 5 chronic tracheocannulars (80%) were decannulated. Conclusion: Endoscopic balloon laryngeal tracheoplasty may be used as a first­line treatment of obstinate formed cicatrixes of infraglottic larynx section. The method of endoscopic balloon laryngotracheoplasty must be used as a first­line treatment for the congenital malformation of larynx, like infraglottic larynx section membrane.