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J Thorac Cardiovasc Surg 2004;127:10-11
© 2004 The American Association for Thoracic Surgery

Editorial

Idiopathic laryngotracheal stenosis

^a Department of Surgery, Division of Thoracic Surgery, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada

Received for publication January 21, 2003; accepted for publication February 22, 2003.

^* Address for reprints: F. Griffith Pearson, MD, the Department of Surgery, Division of Thoracic Surgery, University of Toronto, Toronto General Hospital, RR1, Mansfield, Ontario, L0N 1M0, Canada.

The first 20% of the full text of this article appears below.

During the past 40 years, Dr Hermes Grillo and his colleagues have established a center for upper airway surgery that is unique in terms of the volume of clinical experience that has been attracted, managed, and clearly reported on. Their referral cases include every significant condition in this relatively esoteric field. Idiopathic laryngotracheal stenosis (ILTS) is infrequently reported and is one of the least understood upper airway pathologies. There are even fewer published reports of successful management by means of resection and primary reconstruction in a single stage. In this issue Ashiku and colleagues¹ describe an extensive and detailed review of 73 patients with ILTS, all managed by means of a 1-stage resection and primary anastomosis between 1971 and 2002.

The classic features of ILTS warrant emphasis. ILTS is a relatively uncommon condition of unknown cause characterized by a nonspecific inflammation of the mucus membrane of . . . [Full Text of this Article]