This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

George H. Zalzal, MD; Susan R. Loomis, MS, CCC-SLP; Martin Fischer, PhD

Arch Otolaryngol Head Neck Surg. 1993;119(5):504-507.

Abstract
• During the past decade, the outcome of laryngotracheal reconstruction in children has improved substantially regarding airway patency. Now that we feel comfortable with airway results, attention should be directed toward vocal quality. The aims of this article are to present our evaluation process, which has been developed during the past 3 years, and our assessment of results. Six patients who underwent successful laryngotracheal reconstruction and could be examined preoperatively and postoperatively were studied. Information about disease and reconstruction techniques was recorded. Vocal quality assessment was done using psychoacoustic evaluation and objective techniques, including acoustic analysis. Children offer a specific challenge, especially when their chronological or developmental age is younger than 3 years. Objective assessment still lacks the ability of using cooperative patients, and adequate samples for acoustic analysis are difficult to obtain and standardize. Preoperative abnormalities continued to persist postoperatively. Laryngotracheal reconstruction is instrumental in making oral communication possible, but the vocal quality is disturbed in most patients.

(Arch Otolaryngol Head Neck Surg. 1993;119:504-507)

Author Affiliations
From the Departments of Pediatric Otolaryngology (Dr Zalzal) and Hearing and Speech (Ms Loomis and Dr Fischer), Children's National Medical Center and George Washington University, Washington, DC.

Footnotes
Accepted for publication May 12, 1992.

Presented at the International Workshop of Pediatric Laryngotracheal Stenosis, Leeds Castle, Kent, England, July 27, 1991.

Reprint requests to Department of Pediatric Otolaryngology, Children's National Medical Center, 111 Michigan Ave NW, Washington, DC 20010 (Dr Zalzal).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Special Considerations in the Management of the Pediatric Voice and Airway Patient
Kelchner et al.
Voice and Voice Disorders 2009;19:96-104.
ABSTRACT | FULL TEXT  

Potential Role of Sox9 in Patterning Tracheal Cartilage Ring Formation in an Embryonic Mouse Model
Elluru and Whitsett
Arch Otolaryngol Head Neck Surg 2004;130:732-736.
ABSTRACT | FULL TEXT  

Single-Stage Laryngotracheal Reconstruction: The Great Ormond Street Experience and Guidelines for Patient Selection
McQueen et al.
Arch Otolaryngol Head Neck Surg 1999;125:320-322.
ABSTRACT | FULL TEXT