Pediatric primary anterior laryngotracheoplasty: Thyroid ala vs costal cartilage grafts

Carolyn V. Nguyen, John P. Bent, Maulik B. Shah, Sanjay R. Parikh

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To compare outcomes with the use of thyroid ala cartilage (TAC) and costal cartilage (CC) grafts in pediatric primary anterior laryngotracheoplasty (LTP). Design: Retrospective comparison study. Setting: Tertiary, academic children's hospital. Patients: Of 45 laryngotracheal operations performed between June 2001 and October 2008 for laryngotracheal stenosis, 29 were primary anterior LTPs. The procedures used either TAC (n=24) or CC (n=5) grafts and were planned as either single-stage (TAC group, 22 patients; CC group, 2 patients) or multistage (TAC group, 2 patients; CC group, 3 patients). Main Outcome Measures: Operative time, length of intubation, graft-specific complications, need for additional airway procedures, and overall decannulation rate. Results: The mean (SD) operative times were 222 (56) minutes for TAC grafts and 363 (59) minutes forCCgrafts (P=.005). For single-stage LTPs that were decannulated, the mean (range) length of intubation was 3.3 (1-11) days for TAC grafts (n=18) and 3 (1-5) days for CC grafts (n=2) (P=.90). Graft-specific complications occurred in 17% of TAC grafts (n=4) and 20% of CC grafts (n=1) (α>0.05). Symptomatic stenosis requiring additional surgical intervention occurred in 43% of TAC grafts (n=10) and 60% of CC grafts (n=3) (α>0.05). Patients underwent decannulation in 83% of TAC grafts (n=19) and 80% of CC grafts (n=4) (α>0.05). Conclusions: In primary anterior LTPs, TAC grafts require significantly less operative time than CC grafts (P=.005). There were no statistically significant differences in length of intubation, frequency of graft-specific complications, or decannulation rates between TAC and CC grafts in primary anterior LTPs.

Original languageEnglish (US)
Pages (from-to)171-174
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume136
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Thyroid Cartilage
Thyroid Gland
Pediatrics
Transplants
Operative Time
Intubation
Costal Cartilage
Pathologic Constriction

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Pediatric primary anterior laryngotracheoplasty : Thyroid ala vs costal cartilage grafts. / Nguyen, Carolyn V.; Bent, John P.; Shah, Maulik B.; Parikh, Sanjay R.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 136, No. 2, 02.2010, p. 171-174.

Research output: Contribution to journalArticle

Nguyen, Carolyn V. ; Bent, John P. ; Shah, Maulik B. ; Parikh, Sanjay R. / Pediatric primary anterior laryngotracheoplasty : Thyroid ala vs costal cartilage grafts. In: Archives of Otolaryngology - Head and Neck Surgery. 2010 ; Vol. 136, No. 2. pp. 171-174.
@article{4c9271027a51410bb7e79a93dcc0c81a,
title = "Pediatric primary anterior laryngotracheoplasty: Thyroid ala vs costal cartilage grafts",
abstract = "Objective: To compare outcomes with the use of thyroid ala cartilage (TAC) and costal cartilage (CC) grafts in pediatric primary anterior laryngotracheoplasty (LTP). Design: Retrospective comparison study. Setting: Tertiary, academic children's hospital. Patients: Of 45 laryngotracheal operations performed between June 2001 and October 2008 for laryngotracheal stenosis, 29 were primary anterior LTPs. The procedures used either TAC (n=24) or CC (n=5) grafts and were planned as either single-stage (TAC group, 22 patients; CC group, 2 patients) or multistage (TAC group, 2 patients; CC group, 3 patients). Main Outcome Measures: Operative time, length of intubation, graft-specific complications, need for additional airway procedures, and overall decannulation rate. Results: The mean (SD) operative times were 222 (56) minutes for TAC grafts and 363 (59) minutes forCCgrafts (P=.005). For single-stage LTPs that were decannulated, the mean (range) length of intubation was 3.3 (1-11) days for TAC grafts (n=18) and 3 (1-5) days for CC grafts (n=2) (P=.90). Graft-specific complications occurred in 17{\%} of TAC grafts (n=4) and 20{\%} of CC grafts (n=1) (α>0.05). Symptomatic stenosis requiring additional surgical intervention occurred in 43{\%} of TAC grafts (n=10) and 60{\%} of CC grafts (n=3) (α>0.05). Patients underwent decannulation in 83{\%} of TAC grafts (n=19) and 80{\%} of CC grafts (n=4) (α>0.05). Conclusions: In primary anterior LTPs, TAC grafts require significantly less operative time than CC grafts (P=.005). There were no statistically significant differences in length of intubation, frequency of graft-specific complications, or decannulation rates between TAC and CC grafts in primary anterior LTPs.",
author = "Nguyen, {Carolyn V.} and Bent, {John P.} and Shah, {Maulik B.} and Parikh, {Sanjay R.}",
year = "2010",
month = "2",
doi = "10.1001/archoto.2009.224",
language = "English (US)",
volume = "136",
pages = "171--174",
journal = "Archives of Otolaryngology",
issn = "2168-6181",
publisher = "American Medical Association",
number = "2",

}

TY - JOUR

T1 - Pediatric primary anterior laryngotracheoplasty

T2 - Thyroid ala vs costal cartilage grafts

AU - Nguyen, Carolyn V.

AU - Bent, John P.

AU - Shah, Maulik B.

AU - Parikh, Sanjay R.

PY - 2010/2

Y1 - 2010/2

N2 - Objective: To compare outcomes with the use of thyroid ala cartilage (TAC) and costal cartilage (CC) grafts in pediatric primary anterior laryngotracheoplasty (LTP). Design: Retrospective comparison study. Setting: Tertiary, academic children's hospital. Patients: Of 45 laryngotracheal operations performed between June 2001 and October 2008 for laryngotracheal stenosis, 29 were primary anterior LTPs. The procedures used either TAC (n=24) or CC (n=5) grafts and were planned as either single-stage (TAC group, 22 patients; CC group, 2 patients) or multistage (TAC group, 2 patients; CC group, 3 patients). Main Outcome Measures: Operative time, length of intubation, graft-specific complications, need for additional airway procedures, and overall decannulation rate. Results: The mean (SD) operative times were 222 (56) minutes for TAC grafts and 363 (59) minutes forCCgrafts (P=.005). For single-stage LTPs that were decannulated, the mean (range) length of intubation was 3.3 (1-11) days for TAC grafts (n=18) and 3 (1-5) days for CC grafts (n=2) (P=.90). Graft-specific complications occurred in 17% of TAC grafts (n=4) and 20% of CC grafts (n=1) (α>0.05). Symptomatic stenosis requiring additional surgical intervention occurred in 43% of TAC grafts (n=10) and 60% of CC grafts (n=3) (α>0.05). Patients underwent decannulation in 83% of TAC grafts (n=19) and 80% of CC grafts (n=4) (α>0.05). Conclusions: In primary anterior LTPs, TAC grafts require significantly less operative time than CC grafts (P=.005). There were no statistically significant differences in length of intubation, frequency of graft-specific complications, or decannulation rates between TAC and CC grafts in primary anterior LTPs.

AB - Objective: To compare outcomes with the use of thyroid ala cartilage (TAC) and costal cartilage (CC) grafts in pediatric primary anterior laryngotracheoplasty (LTP). Design: Retrospective comparison study. Setting: Tertiary, academic children's hospital. Patients: Of 45 laryngotracheal operations performed between June 2001 and October 2008 for laryngotracheal stenosis, 29 were primary anterior LTPs. The procedures used either TAC (n=24) or CC (n=5) grafts and were planned as either single-stage (TAC group, 22 patients; CC group, 2 patients) or multistage (TAC group, 2 patients; CC group, 3 patients). Main Outcome Measures: Operative time, length of intubation, graft-specific complications, need for additional airway procedures, and overall decannulation rate. Results: The mean (SD) operative times were 222 (56) minutes for TAC grafts and 363 (59) minutes forCCgrafts (P=.005). For single-stage LTPs that were decannulated, the mean (range) length of intubation was 3.3 (1-11) days for TAC grafts (n=18) and 3 (1-5) days for CC grafts (n=2) (P=.90). Graft-specific complications occurred in 17% of TAC grafts (n=4) and 20% of CC grafts (n=1) (α>0.05). Symptomatic stenosis requiring additional surgical intervention occurred in 43% of TAC grafts (n=10) and 60% of CC grafts (n=3) (α>0.05). Patients underwent decannulation in 83% of TAC grafts (n=19) and 80% of CC grafts (n=4) (α>0.05). Conclusions: In primary anterior LTPs, TAC grafts require significantly less operative time than CC grafts (P=.005). There were no statistically significant differences in length of intubation, frequency of graft-specific complications, or decannulation rates between TAC and CC grafts in primary anterior LTPs.

UR - http://www.scopus.com/inward/record.url?scp=77149176299&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77149176299&partnerID=8YFLogxK

U2 - 10.1001/archoto.2009.224

DO - 10.1001/archoto.2009.224

M3 - Article

C2 - 20157064

AN - SCOPUS:77149176299

VL - 136

SP - 171

EP - 174

JO - Archives of Otolaryngology

JF - Archives of Otolaryngology

SN - 2168-6181

IS - 2

ER -