Total cervical tracheal stenosis: treatment by laser, dilation, and stenting.

Abstract

Twelve patients with total cervical tracheal stenosis were treated by endoscopic laser excision (neodymium:yttrium aluminum garnet or carbon dioxide laser), bronchoscopic dilation, and prolonged stenting with a silicone T-tube. All patients had previous traumatic or prolonged endotracheal intubation requiring a tracheotomy and presented with aphonia as the major complaint. Multiple laser and dilation treatments were necessary in ten patients. Average duration of T-tube placement was 6 months. Excellent results (decannulation and good voice) were achieved in eight patients with a follow-up of 9 months to 6 years. Persistent granulation tissue and some degree of fibrosis were the most common complications (eight of 12 patients). Two patients died of medical complications. A high success rate with this endoscopic technique justifies this approach as our initial therapy, with open surgical techniques reserved for failure.

• Authors: S M Shapshay, J F Beamis Jr, J F Dumon
• Journal: The Annals of otology, rhinology, and laryngology (Ann Otol Rhinol Laryngol) Vol. 98 Issue 11 Pg. 890-5 (Nov 1989) ISSN: 0003-4894 [Print] United States
• PMID: 2817681 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Dilatation
• Endoscopy
• Female
• Humans
• Laser Therapy
• Male
• Middle Aged
• Stents
• Tracheal Stenosis (pathology, surgery, therapy)