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Laryngotracheal resection for post scleromatous laryngeal stenosis

Published online by Cambridge University Press:  29 June 2007

Mohamed Rifai*
Affiliation:
Cairo, Egypt
*
Mohamed Rifai, MD, 8 Hoda Sharawi Street, Bab-El-Louk, Cairo, Egypt

Abstract

Scleroma is an endemic disease in Egypt, which frequently results in subglottic laryngeal stenosis. Six patients suffering from laryngoscleroma are represented. They all underwent laryngotracheal resection of the stenosed segment, followed by direct anastomosis. The results were satisfactory in four of the patients. Surgery was abandoned in one patient who was believed to suffer from perichondritis following previous surgery. Restenosis occurred in a 14-year-old girl two weeks after surgery. This was attributed to recurrence, possibly due to residual activity of the disease which was missed before surgery.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Abedi, E. and Frable, M. A. S. (1983) Severe laryngeal stenosis repair: long term follow-up using conjoint hyoid bone segments. Laryngoscope, 93: 745748.CrossRefGoogle ScholarPubMed
Acuna, R. T. (1973) Endoscopy of the air passage with special reference to scleroma. Annals of Otology, Rhinology and Laryngology, 82: 765769.CrossRefGoogle ScholarPubMed
Bryce, D. P. (1979) Subglottic stenosis. Laryngoscope, 89: 320324.CrossRefGoogle ScholarPubMed
Conley, J. J. (1953) Reconstruction of the subglottic air passage. Annals of Otology, Rhinology and Laryngology, 62: 477495.CrossRefGoogle ScholarPubMed
Cotton, R. T. and Manoukian, J. J. (1986) Glottic and subglottic stenosis. Otolaryngology—Head and Neck Surgery. Edited by Cummings, C. W., volume III edited by Fredrickson, J. M.: C. V. Mosby Company, pp. 21592180.Google Scholar
Courand, L., Hafez, A., Velly, J. F. and Gironnet, I. (1985) Current reconstructive management of subglottic stenosis of the larynx with reference to sixty consecutively treated cases. Thoracic and Cardiovascular Surgery, 33: 263267.CrossRefGoogle Scholar
El-Barbari, A. A. and Nour El Din, M. (1957) New method of treatment of chronic subglottic stenosis. Journal of the Egyptian Medical Association, 40: 522526.Google Scholar
Friedmann, I., Bennett, M. H. and Piris, J. (1986) In Systemic Pathology, third edition, volume 1. Edited by Friedmann, I.Churchill Livingstone, 3134.Google Scholar
Gaafar, H. A. and Helmi, S. A. (1984) Tracheal scleroma. A contrast radiographic study. Journal of Laryngology and Otology, 98: 6570.Google ScholarPubMed
Handousa, A. and Elwi, A. (1958) Some clinicopathological observations in scleroma. Journal of Laryngology and Otology, 72: 3247.CrossRefGoogle ScholarPubMed
Montgomery, W. W. (1968) The surgical management of supraglottic and subglottic stenosis. Annals of Otology, Rhinology and Laryngology, 77: 534546.CrossRefGoogle ScholarPubMed
Montgomery, W. W. (1974) Supraglottic release for tracheal anastomosis. Archives of Otolaryngology, 99: 255260.CrossRefGoogle Scholar
Quevedo, J. (1949) Scleroma in Guatemala. Annals of Otology, Rhinology and Laryngology, 58: 613645.CrossRefGoogle ScholarPubMed
Stell, P. M., Maran, A. G. D., Stanley, R. E. and Murray, J. A. M. (1985) Chronic laryngeal stenosis. Annals of Otology, Rhinology and Laryngology, 94: 108113.CrossRefGoogle ScholarPubMed
Tewfick, M. M., Taha, A. and Fatin, A. (1979) Laryngeal stenosis. M.Sc. Thesis, Cairo University, 109128.Google Scholar
Yassin, A. (1956) Scleroma with a discussion of 20 cases. Journal of the Egyptian Medical Association, 39: 503511.Google Scholar