Laryngotracheoplasty
A laryngotracheoplasty is a surgical procedure in which your child's airway is expanded and repaired using cartilage grafts from either the thyroid, ribs, or ears, depending on the amount of cartilage required. It is applied to treat subglottic stenosis and tracheal stenosis. Depending on whether a temporary tracheostomy—an incision made through the neck into the trachea—is necessary, it can be completed in one step or two. Roughly 94.6% of laryngotracheoplasty procedures are successful.
About Laryngotracheoplasty
Laryngotracheoplasty is a surgical procedure aimed at treating tracheal stenosis or subglottic stenosis, conditions characterized by narrowing of the trachea or subglottic area that can significantly impact breathing. The procedure can be performed as a single-step or two-step process, depending on the individual patient’s needs and whether a temporary tracheostomy (an opening made in the neck to facilitate breathing) is necessary. The primary objectives of laryngotracheoplasty are to improve airflow, alleviate breathing difficulties, and reduce symptoms such as stridor (noisy breathing) and respiratory distress. Consulting with an otolaryngologist or a specialist in airway surgery is essential for determining eligibility, discussing specific details of the procedure, and understanding the associated risks.
Procedure of Laryngotracheoplasty
Pre-operative Evaluation: Prior to surgery, a thorough evaluation is conducted to assess the severity and specific location of the airway narrowing or collapse. This may involve imaging studies and other diagnostic tests to gather comprehensive information about the patient’s condition.
Anesthesia: On the day of the procedure, patients are administered anesthesia to ensure comfort and manage pain throughout the surgery.
Airway Reconstruction: The surgeon makes incisions in the affected areas of the larynx and trachea. During this phase, grafts or implants are strategically placed to provide necessary structural support, restoring proper airflow and ensuring the integrity of the airway.
Suture Closure: After the grafts or implants are securely in position, the incisions are closed with sutures, effectively completing the reconstruction of the airway.
Post-operative Care: Following surgery, patients are monitored in the hospital to ensure a smooth recovery. This may include administering medications for pain management and providing respiratory support as needed. Scheduled follow-up appointments are essential to track progress and make any necessary adjustments to the treatment plan.
Overall, laryngotracheoplasty can significantly enhance respiratory function and quality of life for individuals suffering from airway stenosis.