Abstract
Objectives: Reconstruction of the laryngotracheal airway in pediatric burn victims has been described anecdotally as being less successful than reconstruction performed in other populations. To evaluate this clinical impression, outcomes of laryngotracheal reconstruction (LTR) in pediatric burn victims were compared to a randomly selected, matched control population of children receiving LTR. Methods: A retrospective case-control study was performed. The records of 32 pediatric burn victims undergoing LTR were reviewed. A control group of 48 children undergoing LTR for acquired stenosis were randomly selected from a population matched for age and grade of stenosis. Results: Decannulation rate after first procedure ( P = 0.35), number of open airway procedures required ( P = 0.86), and length of time after first procedure until decannulation ( P = 0.91) were not significantly different between the 2 groups. Two deaths (both tracheostomy tube related) occurred in the burn group; none occurred in the control group. Two patients in the control group and 4 patients in the burn group remain tracheostomy tube dependent at least 1 year after initial reconstructive attempt. Conclusions: Long-term outcomes of LTR in burn patients are not significantly different from outcomes of LTR in the pediatric acquired airway stenosis population.
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