[The treatment of @entity5142 in the XXXX . 156 cases (author's transl)].

@entity1 @entity850 @entity772 @entity5142
156 cases of @entity5142 in the @entity1 were seen over a 10 year period. 40 were congenital and 116 acquired, chiefly after intubation. @entity850 improved spontaneously in 60 % of cases. When tracheotomy was necessary, treatment was similar to that of acquired @entity850 . For post-intubation @entity850 analysis of the underlying pathology revealed the existence of risk factors: @entity772 , cardiac surgery with extracorporeal circulation, laryngaeal pathology being responsible in 75 % of cases. Awareness of these risk factors was felt to be one of the essential elements in the prevention of post-intubation @entity850 . Treatment varied in accordance with the degree of progression of the @entity850 . In recent progressive forms medical and endoscopic treatment (51 cures without treacheotomy, 11 after tracheotomy for 2 to 10 weeks). In forms with scar tissue, tracheotomy associated with endolaryngeal calibration (21 cases) or laryngotracheal enlargement surgery (21 cases). A number of precautions are suggested in order to improve the prevention of @entity850 with scar tissue. Indications of the various therapeutic methods are discussed according to whether the @entity850 is due to scar tissue or is congenital. With regard to procedures involving laryngotracheal widening (28 in all : 21 for @entity850 after intubation and 7 for @entity850 ), emphasis placed upon the need to select amongst several types of operation according to the site and extent of the lesions.
