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Endoscopic management of a prolapsed posterior costal cartilage graft in laryngotracheal reconstruction.

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Laryngotracheal reconstruction is the standard of care for management of high grade pediatric laryngotracheal stenosis. One of the complications of a reconstruction with a posterior costal cartilage graft is graft… Click to show full abstract

Laryngotracheal reconstruction is the standard of care for management of high grade pediatric laryngotracheal stenosis. One of the complications of a reconstruction with a posterior costal cartilage graft is graft prolapse. Typically, a revision laryngotracheal reconstruction will be needed to correct this complication. We describe a case in which a non-invasive endoscopic approach using laser was undertaken for a prolapsed posterior costal cartilage graft in a child who had undergone an anterior-posterior costal cartilage laryngotracheal reconstruction for Grade 3 stenosis. This, according to our knowledge, has not been previously described and provides an alternative to revision surgery.

Keywords: reconstruction; laryngotracheal reconstruction; graft; costal cartilage; posterior costal

Journal Title: International journal of pediatric otorhinolaryngology
Year Published: 2019

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