Abstract
This prospective clinical study evaluates the role of endoluminal stents in the maintenance of a tracheal lumen after management of stenosis. Tracheal stenosis may be due to a variety of causes, and it is a significant health problem. Most patients either remain tracheostomized for prolonged periods of time or undergo several major surgical interventions. The most common sequel is restenosis at the site of repair either after augmentation or resection anastomosis. In this study, 16 patients with different pathologies causing tracheal stenosis or collapse are presented. All patients had the tracheal lumen re-established either endoscopically or by an open procedure. The stent was then placed to support the site of repair and prevent restenosis. A patent well-epithelialized lumen was achieved in 11 cases with a follow-up of 3–24 months. Complications were encountered in five cases: three misplaced stents, one tracheal erosion with a Dumon stent and one granulomatous obstruction. The technique, complications and follow-up of these patients are described with recommendations for the management of such patients.
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References
Burningham AR, Wax MK, Andersen PE, Everts EC, Cohen JI (2002) Metallic tracheal stents: complications associated with long-term use in the upper airway. Ann Otol Rhinol Laryngol 111: 285–290
Ducic Y, Khalafi RS (2000) Use of endoscopically placed expandable nitinol tracheal stents in the treatment of tracheal stenosis. Laryngoscope 110: 1070
Filler RM, Forte V, Chait P (1998) Tracheobronchial stenting for the treatment of airway obstruction. J Pediatr Surg 33: 304–311
Furman RH, Backer CL, Dunham ME, Donaldson J, Mavroudis C, Holinger LD (1999) The use of balloon-expandable metallic stents in the treatment of pediatric tracheomalacia and bronchomalacia. Arch Otolaryngol Head Neck Surg 125: 203–207
Liu Y, Sun Y, Zhou N, Huang X (1997) Nitinol alloy endotracheal stent for treatment of tracheal stenosis. Chin Med J (Engl) 110: 540–542
Madden BP, Stamenkovic SA, Mitchell P (2000) Covered expandable tracheal stents in the management of benign tracheal granulation tissue formation. Ann Thorac Surg 70: 1191–1193
Maeda K, Yasufuku M, Yamamoto T (2001) A new approach to the treatment of congenital tracheal stenosis: balloon tracheoplasty and expandable metallic stenting. J Pediatr Surg 36: 1646–1649
Noppen M, Schlesser M, Meysman M, D'Haese J, Peche R, Vincken W (1997) Bronchoscopic balloon dilatation in the combined management of postintubation stenosis of the trachea in adults. Chest 112: 1136–1140
Park AH, MacDonald R, Forte V (1998) A novel approach to tracheostomal collapse: the use of an endoluminal Palmaz stent. Int J Pediatr Otorhinolaryngol 46: 215–219
Schmidt B, Olze H, Borges AC, John M, Liebers U, Kaschke O, Haake K, Witt C (2001) Endotracheal balloon dilatation and stent implantation in benign stenoses. Ann Thorac Surg 71: 1630–1634
Sommer D, Forte V (2000) Advances in the management of major airway collapse: the use of airway stents. Otolaryngol Clin North Am 33: 163–177
Witt C, Schmidt B, Liebetruth J (1997) Nd:YAG laser and tracheobronchial metallic stents: an experimental in vitro study. Lasers Surg Med 20: 51–55
Wilson G, Walshaw MJ, Hind CRK (1996) Treatment of large airway obstruction in lung cancer using expandable metal stents inserted under direct vision via the fibreoptic bronchoscope. Thorax 52: 248–252
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Mostafa, B.E. Endoluminal stenting for tracheal stenosis. Eur Arch Otorhinolaryngol 260, 465–468 (2003). https://doi.org/10.1007/s00405-003-0624-9
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DOI: https://doi.org/10.1007/s00405-003-0624-9