Securing stent during multi-stage laryngotracheoplasty--an evolved technique.

Abstract:

BACKGROUND:Multi-stage laryngotracheoplasty (LTP) typically requires a stent be secured to the airway for 2-6 weeks. Our technique has evolved over time to securing the stent to the strap muscles and tying a series of knots long enough to leave the suture tail protruding through the skin incision, which simplifies stent removal. METHODS:Retrospective chart review. RESULTS:Twenty-four patients underwent multi-stage LTP at our institution from 2007 to 2013. Eight patients were excluded from the study because they either did not have a stent placed (n=4), or they had a t-tube placed which was not sutured in place (n=4). Of the remaining 16 patients, 62.5% (n=10) had their stent secured via sutures which were buried below the skin, and 37.5% (n=6) via a long suture tail which was left protruding through the end of the skin incision. An incision was required for stent removal 100% of buried sutures patients, and 33% of exposed suture patients (p=0.0009). Average operative time for stent removal was 60min in the buried sutures group, and 25min in the exposed sutures group (p=0.0075). CONCLUSIONS:Securing stents via an exposed suture technique decreases the need for making a skin incision during the second stage of the operation, and significantly decreases the operative time of the second stage.

authors

Siegel B,Bent JP

doi

10.1016/j.ijporl.2015.06.015

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

1418-20

issue

9

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(15)00291-8

journal_volume

79

pub_type

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