Laryngeal Stenosis - A Challenge for the Ent Surgeon

Introduction Laryngotracheal stenosis is a complex pathology which requires multiple surgical interventions, ingenious approaches and an increased compliance, in order to restore physiological respiratory function. The purpose of this paper is to evaluate the factors that can influence the evolution of a patient with laryngeal stenosis, the experience of our clinic being focused on acquired stenosis. Materials and methods Retrospective study based on our clinic's experience regarding acquired laryngeal stenosis, with different ethiology. There has been evaluated 20 cases, between 2008-2018. Results Between 2008 and 2018, 20 cases of laryngeal stenosis were evaluated, their demographic study revealing that their frequency is higher among males, especially from rural areas. The etiology of stenosis has been considered to be iatrogenic or traumatic. Multiple interventions were required, both through endoscopic and open approach and in 7 cases was used a laryngeal stens. No significant correlation between the decanullation rate, age, the etiology or the site of the stenosis could be achieved. On the other hand, older patients required more surgery. The placement of the laryngeal stent, although involving several subsequent surgeries and infectious complications in 2 cases, was completed in 4 cases with successful decanulations. Conclusions Laryngeal stenosis is a pathology requiring multiple surgical interventions to rehabilitate the airway, and the fitting of the endolaryngeal mentor is an ingenious solution of treatment, along with modern methods.