الفهرس 
COVEROnly 14 pages are availabe for public view
 |  | from | 96 |  |  |
| | | from | 96 | | |
Abstract
Laryngeotracheal stenosis is defined as congenital or acquired narrowing of the airway that may affect the trachea, supraglottis, glottis, and/or subglottis.
Larynotracheal stenosis constitutes a challenge for the otolaryngologist; head and neck surgeon. Laryngotracheal stenosis has many causes. The most common cause is endotracheal intubation. It presents, approximately, 15% of patients who were intubated for more than 10 days. Ninety percent of acquired stenosis in infants and children are due to endotracheal intubation.
If the stenosis is congenital and severe, the patient will present with airway distress at birth. Infants with mild SGS may present with recurrent croup-like illnesses and poor feeding. Adults usually present with a history of prior intubation with symptoms of progressive shortness of breath and noisy breathing.
The preoperative evaluation of patients with laryngotracheal stenosis begins with a thorough history and physical examination with subsequent endoscopy, biopsy and imaging studies.
The treatment of laryngotracheal stenosis is a topic of great importance and relevance. It depends on the severity or grade of stenosis. The primary goals of the treatment of laryngeal stenosis are the development of an adequate airway and voice quality preservation or improvement.
Treatment can be summarized into 4 broad categories: observation, medical treatment, Intralesional injections and applications of endolaryngeal procedures or open surgical procedures.
The aim of this study is to conduct a systematic review comparing between resection anastomosis and costal cartilage augmentation. Which of them has a higher success rate (decannulation) in managment of laryngotracheal stensis?
Searches for articles published in English language in PubMed (Medline data base) identified 53 potentially relevant articles. All studies met the inclusion criteria. Among these included articles 28 articles had augmentation by costal cartilage as an intervention. And 25 articles had resection anastomosis as an intervention.
Resection anastomosis has a better outcome and higher success rate in treatment of laryngotracheal stenosis. In comparison to augmentation of costal cartilage by using a decannulation as a success outcome. probably because it is indicated in short segment stenosis, beside the complete excision of the pathological segment, and no graft rejection.