Therapeutic algorithm in stenosis of the larynx and cervical trachea of various etiology
Kirasirova, E.A.; Karimova, F.S.; Kabanov, V.A.; Lafutkina, N.V.; Khamzalieva, R.B.
Vestnik Otorinolaringologii 2006(2): 20-24
2006
ISSN/ISBN: 0042-4668 PMID: 16710176 Document Number: 600488
An algorithm of the treatment of laryngo- tracheal stenosis (LTS) is proposed to raise efficacy of surgical treatment of LTS and to reduce the number of postoperative complications. The algorithm comprises adequate preoperative preparation of the patients including pharmacological prophylaxis of inflammation in the operative zone; effective use of laryngotracheoplasty; prophylaxis of postoperative scarring including reconstruction of created laryngotracheal passage and administration of medicines influencing general and local immunity, tissue metabolism, repair in the region of postoperative inflammation. The efficacy of the algorithm was followed up un 54 (33.7%) patients with laryngostenosis and 106 (66,3%) patients with laryngo-tracheal stenosis. The algorithm application help rehabilitate all the patients with laryngeal stenosis and 92 (86.8%) patients with laryngo-tracheal stenosis.