Surgical Management of Acquired Subglottic Stenosis in Patients Attending Al-Thawrah Teaching Hospital

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Ali Obaid Muthanna

OtoLaryngology Head Neck Surgery, Faculity of Medicine &Health sciences, Sana'a University, Yemen

SUJMS • 2021 | Dec | Vol 15| Issue. (2)

Introduction:

Subglottic stenosis (SGS) is the narrowing of the subglottic lumen. It can be acquired or congenital. The etiology of acquired SGS is related to the trauma of the subglottic mucosa. Injury can be caused by infection or mechanical trauma, usually from Endotracheal intubation but also from blunt, penetration or other trauma [1-3]. Laryngeal stenosis is one of the most complex and challenging problems in the field of head and neck surgery. Laryngeal stenosis with airway compromise causes significant morbidity to the patients and is difficult to treat in both adult and pediatric population [4]. Often the results of these operations are not very satisfactory due to multiple factors. There have been many procedures and.

equal numbers of modifications for the treatment of laryngeal stenosis which in itself show that no one of the procedures is standard and treatment operations can vary according to the need of the patient [5]. Recurrence rates remain high at 40 - 70% over a period of months to years [6]. This has led to a focus on different modalities to increase patency rates and the development of many technological improvements over the past decades [7]. There are various treatments that have been reported in the medical literature. Several different surgical procedures have been used to treat subglottic stenosis, but are generally categorized into endoscopic dilatation, resection of stenosis, and open neck surgery with cartilage incision [8].

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