NEODYMIUM LASER IN LARINGOTRACHEOSTENOSIS TREATMENT AFTER TRACHEOSTOMY IN CHILDREN

Objective. To evaluate the effect of neodymium laser application for successful decannulation in infants with a congenital and acquired tracheal stenosis tracheostomy. Methods. 6 children were being treated 1<sup>st</sup> City Clinical Hospital Minsk 2011-2014. All underwent tracheostomy prolonged intubation subsequent development tracheostenosis. The examined using X-ray, esophagogastroscopy (PentaxEG-16K10), bronchoscopy (Olympus MAF TYPE GM). Tracheal was medical multifunctional complex Multiline (“Linline Medical systems” Ltd, Belarus) equipped high-energy emitter. Children excessive growth granulations thelumenof thetrachea vaporization by means bulbous probe emitter (wavelength 1340 nm, power: 15 W, 2 sec. exposure). In cicatricial stenosis, incisions made scalpel (the wavelength 1064 power 20 W). Results. Effective observed 5 children, including 4 who underwent3-5 treatment sessions. 1 child subglottic larynx to perform became possible after years 24 sessions recanalizationofstenosis ablation granulations. One child, 9 sessions, dropped out observation, result has not been defined. Conclusion. Tracheostomy promotes formation lumen which subsequently hinders decannulation. endoscopic access provides visual direct approach focus impact aim laser-induced soft tissues recanalization trachealmass short leads What this paper adds Firstly tracheotomy used. method developed restoring laser-inducedvaporization granulation making scar area. It is shown impact. Laser-induced