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1 results

  • Laryngotracheal mold for stenting in pediatric glottic and subglottic stenosis

  • Flavia Varela, Kishore Sandu
  • Journal:
    The Journal of Laryngology & Otology , First View
    Published online by Cambridge University Press:
    16 June 2025, pp. 1-8
    • Article
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  • Objective

    We report the surgical outcomes and functional results in a pediatric population following the use of the laryngotracheal LT-moldR prosthesis to treat complex glottic and subglottic stenosis.

    Methods

    A retrospective observational study in children following open and endoscopic surgical treatment for LT stenosis.

    Results

    Among 46 patients, 91% received LT-mold during an open surgery and 9% had it following an endoscopic procedure. 93% patients were successfully decannulated and 80% needed stent placement for longer than 2 months. Mean time to decannulation was 229 days. Currently, 83% patients have normal breathing, 67% patients have normal voice or mild dysphonia and swallowing outcomes have remained similar in the pre- and post-operative period.

    Conclusion

    The LT-mold provided an adequate airway stenting, enabling decannulation in most patients with advanced grades of laryngotracheal stenosis. Duration of stenting and time to decannulation showed no correlation with the grade of stenosis or patient comorbidities. Functional results were optimal.