Reconstructive laryngoplasty with T-shaped tube in a 2-years old child having cicatricial stenosis of grade III

Abstract

Introduction. Stenosis of the upper respiratory tract is a common pathology in childhood. The most common cause is a prolonged intubation resulting in a persistent cicatricial narrowing of the airway. In modern literature, there are many techniques for its surgical treatment. At the first curative stage, tracheostomy is put. Nowadays, reconstructive techniques are widely used. One of the successful curative options in this pathology is laryngeal plasty with T-tube placement followed by the long-term stenting of the lumen.Purpose. To demonstrate potentials of performing reconstructive surgical treatment of upper respiratory tract stenosis in young children.Material. A clinical case of a two-year-old patient with acquired cicatricial stenosis of the larynx of the subglossal space, grade III, was treated at the department of thoracic surgery in Filatov Municipal Children’s Hospital.Conclusion. Our clinical observation has shown that plastic surgery of the upper respiratory tract with placement of T-tube in young children with cicatricial stenosis is an effective technique that forms a satisfactory air pathway, thereby providing the child with adequate breathing through the natural airways.