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Single-Stage Laryngotracheal Reconstruction
The Great Ormond Street Experience and Guidelines for Patient Selection
Chapman T. McQueen, MD;
Nina L. Shapiro, MD;
Susanna Leighton, MD, FRCS;
Xu G. Guo;
David M. Albert, MD, FRCS
Arch Otolaryngol Head Neck Surg. 1999;125:320-322.
Objectives To review all patients undergoing single-stage laryngotracheal reconstruction and to determine guidelines to predict successful outcomes and prevent the necessity of tracheotomy following laryngotracheal reconstruction.
Design Chart review.
Setting Tertiary care children's hospital.
Patients A retrospective chart review was performed at our institution involving all patients who underwent single-stage laryngotracheal reconstruction from 1993 through 1996. A total of 28 patients were reviewed.
Results Based on this chart review, a statistically higher incidence of extubation complications (P=.045), ie, bleeding, reintubation, or subcutaneous emphysema, occurred in children who weighed less than 4 kg. Although not statistically significant (P>.99), the relative risks of failure, defined as tracheotomy dependent or significant airway compromise following single-stage laryngotracheal reconstruction, were 3.43 if the child's weight was less than 4 kg at the time of surgery and 2.31 if the gestational age was less than 30 weeks at the time of surgery. Length of time for intubation did not appear to have any effect on outcome.
Conclusions Patients' gestational age and weight at the time of surgery appear to have the most impact on successful outcome. Children weighing more than 4 kg and those with gestational age of greater than 30 weeks appear to have a greater chance at successful extubation and eventual patent airway. Duration of intubation following single-stage laryngotracheal reconstruction does not appear to affect outcome.
From the Division of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill (Dr McQueen); Department of Pediatric Otolaryngology, University of California, Los Angeles (Dr Shapiro); Department of Pediatric Otolaryngology, Hospital for Sick Children, London, England (Drs Leighton and Albert); and Department of Statistical Analysis, University of North Carolina School of Public Health, Chapel Hill (Mr Guo).
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