Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-16T05:20:31.356Z Has data issue: false hasContentIssue false

Formal reintubation for incipient neonatal subglottic stenosis

Published online by Cambridge University Press:  29 June 2007

John M. Graham*
Affiliation:
Royal Ear Hospital, Middlesex Outpatients Department, Cleveland Street, London W1P 5FD.
*
Mr. John M. Graham, F.R.C.S., The Royal Ear Hospital, Middlesex Outpatients Department, Cleveland Street, London W1P 5FD.

Abstract

In a small prospective series of 10 children who presented with incipient subglottic stenosis following neonatal intubation a protocol of formal reintubation for two weeks, with sedation, enabled six of the children to avoid tracheostomy or other forms of surgery and in the remaining four it is unlikely that the trial of reintubation made the degree of laryngeal and subglottic damage worse.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbott, T. R. (1968) Complications of prolonged nasotracheal intubation in children. British Journal of Anaesthesia 401: 347353.CrossRefGoogle Scholar
Albert, D. M., Mills, R. P., Fysh, J., Gamsu, H., Thomas, J. N. (1990) Endoscopic examination of the neonatal larynx at extubation: a prospective study of variables associated with laryngeal damage. International Journal of Paediatric Otorhinolaryngology 20: 203212.CrossRefGoogle ScholarPubMed
Campbell, J. B., Morgan, D. W., Pearman, K. (1989) Experience with the home-care of tracheotomised paediatric patients. Archives of Otorhinolaryngology 246: 345348.CrossRefGoogle ScholarPubMed
Cohen, S. R., Eavy, R. D., Desmond, M. S., May, B. C. (1977) Endoscopy and tracheostomy in the neonatal pereiod: a 10-year review. Annals of Otology, Rhinology and Laryngology 86: 577583.CrossRefGoogle Scholar
Cotton, R. T. (1978) Management of subglottic stenosis in infancy and childhood. Annals of Otology, Rhinology and Laryngology 87: 649657.CrossRefGoogle ScholarPubMed
Cotton, R. T. (1985) Prevention and management of laryngeal stenosis in infants and children. Journal of Paediatric Surgery 20: 845851.CrossRefGoogle ScholarPubMed
Cotton, R. T., Seid, A. B. (1980) Management of the extubation problem in the premature child. Anterior cricoid split as an alternative to tracheostomy. Annals of Otology, Rhinology and Laryngology 89: 508511.CrossRefGoogle Scholar
Cotton, R. T., Evans, J. N. G. (1981) Laryngotracheal reconstruction in children: five-year follow-up. Annals of Otology. Rhinology and Laryngology 90: 516520.CrossRefGoogle Scholar
Crysdale, W. S. (1983) Subglottic stenosis in children. A management protocol plus surgical experience in 13 cases. International Journal of Paediatric Otorhinolaryngology 6: 2336.CrossRefGoogle ScholarPubMed
Fearon, B., Macdonald, R. E., Smith, C., Mitchell, D. (1966) Airway problems in children following prolonged endotracheal intubation. Annals of Otology, Rhinology and Laryngology 75: 975986.CrossRefGoogle Scholar
Fearon, B., Cotton, R. T. (1974) Surgical correction of subglottic stenosis of the larynx in infants and children. Progress report. Annals of Otology, Rhinology and Laryngology 83: 428431.CrossRefGoogle ScholarPubMed
Gillinson, P. (1988) Acquired subglottic stenosis in infants: a parent's view. Journal of Laryngology and Otology 102 (17): 4144.CrossRefGoogle Scholar
Gould, S. J. (1988) The pathology of neonatal endotracheal intubation and its relationship to subglottic stenosis. Journal of Laryngology and Otology 1Google Scholar
Gould, S. J., Graham, J. M. (1985) Acquired subglottic stenosis in neonates (editorial) Clinical Otolaryngology 10: 299302.CrossRefGoogle Scholar
Gould, S. J., Graham, J. M. (1989) Long-term pathological sequelae of neonatal endotracheal intubation. Journal of Laryngology and Otology 103: 622625.CrossRefGoogle ScholarPubMed
Gould, S. J., Howard, S. (1985) The histopathology of the larynx in the neonate following endotracheal intubation. Journal of Pathology 146: 301311.CrossRefGoogle ScholarPubMed
Graham, J. M. (1988) Acquired subglottic stenosis in infants: introduction. Journal of Laryngology and Otology 102 (17): 1.CrossRefGoogle Scholar
Grundfast, K. M., Camilon, F. S., Pransky, S., Barber, C. S., Fink, R. (1990) Prospective study of subglottic stenosis in intubated neonates. Annals of Otology, Rhinology and Laryngology 99: 390395.CrossRefGoogle ScholarPubMed
Hawkins, D. B. (1978) Hyaline membrane disease of the neonate. Prolonged intubation in management: effects on the larynx. Laryngoscope 88: 201224.CrossRefGoogle ScholarPubMed
Hazinski, M. F. (1986) Pediatric home tracheostomy care: a parent's guide. Pediatric Nursing 12: 4169.Google Scholar
Hengerer, A. S., Strome, M., Jaffe, B. F. (1975) Injuries to the neonatal larynx from long-term endotracheal tube intubation and suggested tube modification for prevention. Annals of Otology, Rhinology and Laryngology 84: 764770.CrossRefGoogle Scholar
Holinger, P. H., Kutnik, S. L., Schild, J. A., Holinger, L. D. (1976) Subglottic stenosis in infants and children. Annals of Otology, Rhinology and Laryngology 85: 591599.CrossRefGoogle ScholarPubMed
Jennings, P. (1988) Nursing and home aspects of the care of a child with a tracheostomy. Journal of Laryngology and Otology 102 (17): 2529.CrossRefGoogle Scholar
Laing, I. A., Cowan, D. L., Ballentine, G. M., Hume, R. (1986) Prevention of subglottic stenosis in neonatal ventilation. International Journal of Paediatric Otorhinolaryngology 11: 6166.CrossRefGoogle ScholarPubMed
Ochi, J. W., Seid, A. B., Pransky, S. M. (1987) An approach to the failed cricoid split operation. International Journal of Paediatric Otorhinolaryngology 14: 229234.CrossRefGoogle Scholar
Papsidero, M. J., Pashley, N. R. T. (1980) Acquired stenosis of the upper airway in neonates, an increasing problem. Annals of Otology, Rhinology and Laryngology 89: 512514.CrossRefGoogle ScholarPubMed
Pashley, N. R. T. (1983) Serial dilatation compared with elective laryngo-tracheoplasty in the treatment of acquired subglottic stenosis in children. International Journal of Paediatric Otorhinolaryngology 5: 5965.CrossRefGoogle ScholarPubMed
Prescott, C. A. J. (1988) Protocol for management of the interposition cartilage graft laryngotracheoplasty. Annals of Otology, Rhinology and Laryngology 97: 239242.CrossRefGoogle ScholarPubMed
Prescott, C. A. J., Vanlierde, M. J. R. R. (1989) Tracheostomy in children ' the Red Cross War Memorial Children's Hospital experience 1980–1985. International Journal of Paediatric Otorhinolaryngology 17: 97107.CrossRefGoogle ScholarPubMed
Quiney, R. E., Gould, S. J. (1985) Subglottic stenosis; a clinicopathological study. Clinical Otolaryngology 10: 315327.CrossRefGoogle ScholarPubMed
Quiney, R. E., Spencer, M. G., Bailey, C. M., Evans, J. N. G., Graham, J. M. (1986) Management of subglottic stenosis: experience from two centres. Archives of disease in childhood 61: 686690.CrossRefGoogle ScholarPubMed
Richardson, M. A., Inglis, A. F. (1991) A comparison of anterior cricoid split with and without costal cartilage graft for acquired subglottic stenosis. International Journal of Paediatric Otorhinolaryngology 22: 187193.CrossRefGoogle ScholarPubMed
Sherman, J. M., Lowitt, S., Stephenson, C., Ironson, G. (1986) Factors influencing acquired subglottic stenosis in infants. Journal of Pediatrics 109:322327.CrossRefGoogle ScholarPubMed
Smith, M. E., Marsh, J. H., Cotton, R. T., Myer, C. M. (1993) Voice problems after pediatric laryngotracheal reconstruction: videolaryngographic, acoustic and perceptual assessment. International Journal of Paediatric Otorhinolaryngology 25: 173181.CrossRefGoogle ScholarPubMed
Stenson, K., Berkowitz, R., McDonald, T., Gruber, B. (1993) Experience with one-stage laryngeal reconstruction. International Journal of Paediatric Otorhinolaryngology 27: 5564.CrossRefGoogle Scholar
Strong, R. M., Passy, V. (1977) Endotracheal intubation — complications in neonates. Archives of Otolaryngology 103: 329335.CrossRefGoogle ScholarPubMed
Swift, A. C., Rogers, J. H. (1987) The outcome of tracheostomy in children. Journal of Laryngology and Otology 101: 936939.CrossRefGoogle ScholarPubMed