Objective:To review the key points of the perioperative period management of laryngotracheoplasty using free hyoid grafting in children with acquired subglottic stenosis, in order to reduce postoperative complications, to improve extubation rate, and to promote the rehabilitation of the patients. Methods:Twenty-five cases with subglottic stenosis were treated by laryngotracheoplasty using free hyoid grafting in department of Otolaryngology, Head and Neck Surgery, Shanghai Children's Hospital from September 2017 to June 2021. Standardized perioperative period management protocols were carried out in all 25 cases. Results:21 cases were successfully extubated, T tubes of 2 cases were replaced by tracheal tubes which have been sealed, but tracheal tubes sealing was failed in 2 cases after tube replacement. Conclusion:High quality perioperative period management of laryngotracheoplasty using free hyoid grafting can effectively reduce related complication rate, maintain airway patency, promote laryngeal function recovery, shorten the period of tracheotomy and improve the quality of life.
目的：总结儿童获得性声门下狭窄行游离舌骨重建环状软骨喉气管成形术围术期的管理要点，为减少术后并发症，提高拔管成功率，促进患儿康复提供参考。 方法：纳入2017年9月—2021年6月在上海市儿童医院耳鼻咽喉头颈外科行游离舌骨重建环状软骨喉气管成形术治疗的25例声门下狭窄的患儿，对患儿均实施规范的围术期管理策略。 结果：本组患儿成功拔管21例，2例T管换成气管套管后堵管，2例患儿换成气管套管后尚未堵管。 结论：游离舌骨重建环状软骨喉气管成形术术后正确实施围术期管理，可以有效降低或控制相关并发症，保持气道通畅，促进喉功能恢复，缩短气管切开患儿带管时间，提高生存质量。.
Keywords: laryngeal stenosis; laryngotracheoplasty; perioperative period management.
Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.