بررسی درمان‌های جراحی انجام‌‌شده در بیماران دچار تنگی تحت گلوت مراجعه‌کننده به بیمارستان حضرت رسول اکرم(ص)

    Background & Aim: Subglottic stenosis affects the quality of life greatly and on occasion may compromise to life. There are multiple surgical managements for it,and each has its own advantages and disadvantages. The aim of the present research was to define success of surgical techniques in patients with subglottic stenosis referred to Rasoul-e-Akram Hospital. Patients and Method: This cross-sectional study was performed on 42 patients referred to otolaryngology department of Rasoul-e-Akram Hospital between 2000 and 2007. Before performing operation,the degree and length of stenosis was defined by direct laryngoscopy and endoscopic examination. Based on the success of decannulation and direct laryngoscopy, the efficacy of operation was evaluated. Statistical analysis was done by t-test and Chi-square. Results: The mean age of the patients was 23. 3 years with standard deviation of 11. 2. 32 patients (76%) had history of prolonged endotracheal intubation. In 23 patients, endoscopic surgery was done with laser or cold microsurgery or bugienage. 19 patients underwent open surgery which included 16 cases of laryngofissure with stent and 3 cases of resection with end-to-end anastomosis. The overall success of operations was 73%. Conclusion: Selection of proper method and technique in successful management of these patients is very important. In our study, the highest percentage of success was through resection and anastomosis and then with laryngofissure.