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开放手术扩大气道治疗小儿喉气管狭窄已被广泛应用。喉模和软骨片移植是喉扩张术的主要手段,适用于内窥镜治疗失败和/或严重狭窄者。最有价值和普遍应用的是Aboulker喉模和硅胶卷。Aboulker喉模(烟卷型)分长和短两种,前者可长时间放置,后者放置不能超过5周,因在其底端易长肉芽,导致气管狭窄和气管造孔上方塌陷。分析48例51次应用Aboulker喉模的手术效果,48例中1例2次手术失败仍带气管套管;1例Down综合症患者死于呼吸道合胞病毒性肺炎;1例首次手术应
Open surgery to expand airway laryngotracheal stenosis has been widely used. Laryngeal and cartilage graft are the primary means of laryngeal distension and are suitable for those with failed and / or severe endoscopic treatment. The most valuable and commonly used are Aboulker laryngeal and silicone rolls. Aboulker throat mold (cigarette type) points long and short two, the former can be placed for a long time, the latter can not be placed more than 5 weeks, due to its easy to grow at the bottom of the granulation, leading to tracheal stenosis and tracheal collapse above. Forty-eight patients underwent 51 surgeries with Aboulker laryngeal pharynx. One of the 48 patients failed with two tracheal cannulas, one with Down syndrome died of respiratory syncytial virus pneumonia, and one with first surgery