Laryngotracheal stenosis in children after intubation. Report of five cases

Paediatr Anaesth. 1997;7(5):415-9. doi: 10.1046/j.1460-9592.1997.d01-101.x.


Acquired laryngotracheal stenosis is a serious long term complication of tracheal intubation with an incidence of 0.7 to 8% in intubated children. We report five cases of subglottic stenosis over a 4.5-year period and review the pathology and pathogenesis of the condition. A diagnosis of subglottic stenosis was suspected when extubation failed due to the onset of dyspnoea or laryngeal stridor. An incidence of 0.9% of all intubated children was observed. We conclude that the main components contributing to stenosis are pathologies with decreased mucosal capillary perfusion pressure and intubation conditions.

MeSH terms

  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Intubation, Intratracheal / adverse effects*
  • Laryngostenosis / diagnosis
  • Laryngostenosis / etiology*
  • Laryngostenosis / therapy
  • Male
  • Retrospective Studies
  • Tracheal Stenosis / diagnosis
  • Tracheal Stenosis / etiology*
  • Tracheal Stenosis / therapy