{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:14:00Z","timestamp":1777421640720,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2004,5,1]],"date-time":"2004-05-01T00:00:00Z","timestamp":1083369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:p>In this report, we discuss indications, technique, outcome, and complications of revision single-stage laryngotracheal reconstruction (SSLTR), formulate guidelines to avoid or prevent procedure failure, and establish a protocol for the management of procedure failure. We retrospectively reviewed the charts of 122 patients between the ages of 8 months and 9 years who underwent SSLTR between January 1992 and September 2001 in 2 tertiary care children's medical centers in different cities and assessed the outcomes of patients who underwent revision SSLTR. A total of 122 patients underwent SSLTR, of whom 48 patients underwent anterior and posterior grafting. Of the 122 patients, 13 had revision SSLTR; 8 of these 13 underwent the initial laryngotracheal reconstruction at another institution. Five patients had anterior grafting laryngotracheal reconstruction without stenting, 7 had anterior and posterior grafting with 1 to 21 days of endotracheal intubation, and 1 had cricotracheal resection and anastomosis. Of the 13 patients, 5 had anterior wall or graft collapse (grade IV stenosis), 4 had subglottic stenosis (grade IV), 2 had circumferential subglottic stenosis (grade III), and 2 had subglottic and glottic stenosis (grade IV). The overall success rate for all patients was 86% (105 of 122). The success rates for the 122 patients were as follows: anterior grafting, 100%; anterior and posterior grafting, 83% (40 of 48); and revision cases, 70% (9 of 13). We conclude that laryngotracheal reconstruction with a costal cartilage rib graft should be considered the procedure of choice for the management of subglottic stenosis. We believe that patients in whom the first procedure fails should have a high chance of success with revision SSLTR if strict guidelines and protocols are followed.<\/jats:p>","DOI":"10.1177\/000348940411300505","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"367-372","source":"Crossref","is-referenced-by-count":26,"title":["Revision Single-Stage Laryngotracheal Reconstruction in Children"],"prefix":"10.1177","volume":"113","author":[{"given":"Ramzi T.","family":"Younis","sequence":"first","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rande H.","family":"Lazar","sequence":"additional","affiliation":[{"name":"Memphis, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Bustillo","sequence":"additional","affiliation":[{"name":"Miami, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2004,5,1]]},"reference":[{"key":"bibr1-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/37.3.161"},{"key":"bibr2-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(85)80053-1"},{"key":"bibr3-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200101000-00009"},{"key":"bibr4-000348940411300505","volume":"101","author":"Cotton RT","year":"1991","journal-title":"Laryngoscope"},{"key":"bibr5-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770274-2"},{"key":"bibr6-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.25788"},{"key":"bibr7-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00418-3"},{"key":"bibr8-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1007\/s004050000287"},{"key":"bibr9-000348940411300505","first-page":"192","volume":"7","author":"Huang CJ","year":"2001","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"bibr10-000348940411300505","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2001.19382"},{"key":"bibr11-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.6.650"},{"key":"bibr12-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200011000-00020"},{"key":"bibr13-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000703"},{"key":"bibr14-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890150071013"},{"key":"bibr15-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.5.511"},{"key":"bibr16-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508000-00009"},{"key":"bibr17-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v120.a91766"},{"key":"bibr18-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111000103"},{"key":"bibr19-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810701111"},{"key":"bibr20-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198911000-00002"},{"key":"bibr21-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870090063009"},{"key":"bibr22-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880100013005"},{"key":"bibr23-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.109007"},{"key":"bibr24-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00360-8"},{"key":"bibr25-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.3.289"},{"key":"bibr26-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00452-3"},{"key":"bibr27-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890230080015"},{"key":"bibr28-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-199702000-00012"},{"key":"bibr29-000348940411300505","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200101000-00032"}],"container-title":["Annals of Otology, Rhinology &amp; 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