This is an automatically translated article.
Scarring of subglottic stenosis is a common disease in the emergency process of the ear - nose - throat, often due to many causes such as intubation, trauma to the larynx. In order to be able to effectively treat hypoglottic stenosis scars in children, it is extremely necessary to adhere to certain regimens.
1. Causes of laryngeal stenosis scars
Scarring of the larynx is a common complication due to lesions in the larynx or trachea that form scars, narrowing the airway diameter.
Causes of laryngeal stenosis scars include:
Chronic inflammation such as chronic cartilage inflammation, amyloidosis... Presence of benign/malignant neoplasms (cancerous) in the larynx windpipe. Among them, the most common causes of laryngotracheal strictures are trauma, which can be internal trauma due to prolonged intubation procedures, surgery, tracheostomy, radiation therapy, internal burns. trachea... or it can also be an external injury, such as an external neck injury.
Đặt ống nội khí quản có nguy cơ gây ra các chấn thương thanh quản hoặc khí quản
2. Diagnosis of scarring of hypoglottic stenosis in children
To diagnose scarring of the subglottic stenosis, doctors will first base on the main clinical signs, including:
Snoring and shortness of breath. The child is fussy, breathing fast and the body is pale. Children's medical history: Including trauma, inflammation, congenital abnormalities, long-term intubation... Along with that, some more specific tests and examinations to identify scarring of subglottic stenosis are:
Laryngoscopy with rigid tube. CT Scan to determine the exact location of the stenosis as well as the length of the stenosis. Take X-ray of the neck straight, neck tilted in case CT-Scan cannot be taken. Preoperative tests.
Thực hiện các xét nghiệm tiền phẫu để đánh giá chính xác tình trạng sẹo hẹp hạ thanh môn
3. Regimen for treating scars of hypoglottic stenosis in children
Treatment methods for scarring of subglottic stenosis in children currently available include medical treatment and surgical treatment.
3.1 Medical Treatment For Infection: Use Cefotaxime within 2 weeks. For risk factors: Treatment of gastroesophageal reflux disease.
3.2 Surgical treatment Mainly performing surgery, including:
Tracheostomy: Support to control the pediatric airway and prepare for orthopedic surgery.
Orthopedic larynx: Depending on the narrowing, there will be different types of orthopedic surgery.
Grade 1, 2: perform endoscopic orthopedic surgery by removing narrow scar using laser in combination with dilatation, local injection of Mitomycin, Grade 3, 4 or failed endoscopic orthopedic surgery: open orthopedic surgery laryngotracheal with techniques: anterior cricoid cartilage, posterior cricoid cartilage, Four-Quadrant Cricoid Cartilage Division, Rib cartilage grafting to widen the larynx lumen, connecting two ends of the trachea, cutting cricoid cartilage...
Tùy vào tình hình của bệnh nhân để tiến hành các phẫu thuật điều trị khác nhau
3.3 Post-operative treatment After surgery to treat hypoglottic stenosis scars in children, the pediatric patient will continue to be monitored and treated as follows:
Continue to use antibiotics, analgesics, anti-edematous drugs. ... within 2 weeks after the surgery. Within 8 weeks after surgery, the patient should be treated with anti-gastroesophageal reflux disease. Breathing tube care. After the incision is removed, the patient will be discharged from the hospital. Depending on the type of dilatation, the doctor will reschedule a follow-up appointment to check, remove the tube... when the airway patency has been determined to be stable. It can be seen that the treatment of hypoglottic stenosis scars in children needs to follow a certain treatment regimen depending on the baby's condition. Therefore, pediatric patients need to be examined and clearly identified at reputable hospitals/medical centers and have a team of experienced doctors to ensure effective treatment.
Currently, Vinmec International General Hospital is gathering a team of leading pediatricians nationwide. Along with that, with the most advanced and modern technological equipment in the world, the examination and treatment by surgical surgery will bring accurate, reliable and highly effective results.
To register for examination and treatment at Vinmec International General Hospital, please book an appointment on the website for service.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
