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Is Long-Term Stenting for Benign Airway Obstruction Effective?

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

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Abstract

Stents play an important role in central airway obstruction and are used by thoracic surgeons and interventional pulmonologists in both benign and malignant cases. Stents, however, are foreign bodies and have known complications. These include granulation tissue formation, stent fracture, migration, neo-epithelialization and decreased mucociliary clearance. While they are very useful as palliation of malignant central airway obstruction in patients with limited life expectancy, their use in cases of benign airway stenosis must be rigorously evaluated on a case by case basis due to the potential for complications with prolonged use. Therefore, for the vast majority of benign obstructive airway lesions, endobronchial ablative and repair techniques combined with airway dilation are recommended as first line therapy. When stenting is required, silicone or hybrid stents are preferred recommended over metal stents. Metal stents may be utilized in exceptional cases for short periods of time after conventional endoscopic interventions have failed. Use by experienced operators with expertise in advanced endoscopic airway procedures is recommended.

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Correspondence to Faiz Y. Bhora .

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Bhora, F.Y., Baig, M.Z. (2020). Is Long-Term Stenting for Benign Airway Obstruction Effective?. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_45

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  • DOI: https://doi.org/10.1007/978-3-030-47404-1_45

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  • Online ISBN: 978-3-030-47404-1

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