Análisis de los fracasos del tratamiento de la estenosis subglótica en la infancia
- J.A. Matute
- M.A. Villafruela
- J.M. Hernández
- J. Vázquez
Year of publication: 2000
Volume: 52
Issue: 3
Pages: 242-244
Type: Article
Abstract
Background The good results obtained until nowadays in the surgery of subglottic stenosis is followed by an analysis of the failures. Methods We study retrospectively 48 cases treated in the last eight years in two institutions. Study variables were: age, previous diagnosis, grade os the stenosis, surgical treatment, complications and evolution. Results Mean age was 2.8 ± 0.43 years (newborn-17 years). In 13 cases (27%) the result obtained was considered a failure. Failure indexes were: treatment selection (7,7%), surgical technique selection (23%), due to the technique itself (23%), iatrogenia (15,4%), associated diseases (30,7%). Mortality of the serie was 8.3%. Conclusions The learning curve of these technniques is dificult although once the necessary experience is achieved the results are excelent.