Section: 
Diseases of the lymphoepithelial pharyngeal ring and neck
Diseases of the lymphoepithelial pharyngeal ring and neckLaryngotracheal reconstruction in posterior glottic stenosis in children
P. V. Pavlov (1), M. L. Zakharova (2), Yu. A. Kur’yanova (3), V. A. Verezgov (4), S. R. Tagieva (5)
(1), (2), (3), (4) Saint Petersburg State Pediatric Medical University, Saint Petersburg, 194100, Russian Federation, (5) Medical Center „Twenty-first Century“, Saint Petersburg, 194044, Russian Federation
UDK: УДК 616.22-003.92-007.271-089.844-053.2
DOI: https://doi.org/10.18692/1810-4800-2025-4-70-75
ABSTRACT
Аbstract. Posterior cicatricial stenosis of the vocal region of the larynx, also known as posterior glottic stenosis (PGS), is a separate disease that can easily be confused with paralysis of the vocal cords or congenital intervertebral membrane. PGS accounts for 6% of all laryngeal stenoses. Cohen was the first to coin the term „pseudolaryngeal paralysis“. The most common cause of PGS is prolonged intubation, but it can also be caused by infection, trauma, tumors, and autoimmune diseases. This article presents two clinical observations, two boys aged 8 and 5 years with posterior cicatricial stenosis of the vocal region of the larynx caused by laryngeal trauma and prolonged intubation. Both patients underwent multi-stage laryngotracheal reconstruction using a posterior rib autograft and stenting. A month later, the second stage of plastic surgery was performed—stent removal followed by decannulation of the patient. When examined one year later, both patients demonstrated free breathing through natural passages and a sonorous voice. These clinical cases demonstrate successful laryngotracheal reconstructions using an autograft, which allowed decannulation of the patient with PGS with a stable result in the long-term postoperative period
Publication date:
13.08.2025
Keywords:
laryngeal stenosis, laryngotracheal reconstruction, posterior cicatricial stenosis of the vocal region of the larynx
For citation:
Pavlov P. V., Zakharova M. L., Kur’yanova Yu. A., Verezgov V. A.,Tagieva S. R. Laryngotracheal reconstruction in posterior glottic stenosis in children. Russian Otorhinolaryngology. 2025;24(4):70-75. (In Russ.) https://doi.org/10.18692/1810-4800-2025-4-70-75