Laryngeal and tracheal stents in children

Current Opinion in Otolaryngology and Head and Neck Surgery

Volumn 16, Issue 1, 2008, Pages 83-85

  Preciado, Diego ^a   Zalzal, George ^a  

^a CHILDREN'S NATIONAL MEDICAL CENTER   (United States)

Author keywords

Aboulker stents; Balloon expandable tracheal stents; Laryngeal and tracheal stents; Montgomery T tubes; Suprastomal stents

Indexed keywords

HUMAN; LARYNX STENOSIS; PALLIATIVE THERAPY; PATIENT CARE; PLASTIC SURGERY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; REVIEW; STENT; T TUBE; TRACHEA OBSTRUCTION; TRACHEA STENOSIS;

CHILD; HUMANS; LARYNGOSTENOSIS; POSTOPERATIVE COMPLICATIONS; RECONSTRUCTIVE SURGICAL PROCEDURES; STENTS; TRACHEAL STENOSIS;

EID: 38149014057     PISSN: 10689508     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOO.0b013e3282f433f4     Document Type: Review

References (23)

1. White DR, Cotton RT, Bean JA, et al. Pediatric cricotracheal resection: surgical outcomes and risk factor analysis. Arch Otolaryngol Head Neck Surg 2005; 131:896-899.
2. Gustafson LM, Hartley BE, Liu JH, et al. Single-stage laryngotracheal reconstruction in children: a review of 200 cases. Otolaryngol Head Neck Surg 2000; 123:430-434.
3. Cotton RT, O'Connor DM. Paediatric laryngotracheal reconstruction: 20 years' experience. Acta Otorhinolaryngol Belg 1995; 49:367-372.
4. Zalzal GH. Treatment of laryngotracheal stenosis with anterior and posterior cartilage grafts: a report of 41 children. Arch Otolaryngol Head Neck Surg 1993; 119:82-86.
5. Cotton RT, Gray SD, Miller RP. Update of the Cincinnati experience in pediatric laryngotracheal reconstruction. Laryngoscope 1989; 99:1111-1116.
6. Hartnick CJ, Hartley BE, Lacy PD, et al. Surgery for pediatric subglottic stenosis: disease-specific outcomes. Ann Otol Rhinol Laryngol 2001; 110:1109-1113.
7. Lim LH, Cotton RT, Azizkhan RG, et al. Complications of metallic stents in the pediatric airway. Otolaryngol Head Neck Surg 2004; 131:355-361.
8. Zakaluzny SA, Lane JD, Mair EA. Complications of tracheobronchial airway stents. Otolaryngol Head Neck Surg 2003; 128:478-488.
9. Madden BP, Loke TK, Sheth AC. Do expandable metallic airway stents have a role in the management of patients with benign tracheobronchial disease? Ann Thorac Surg 2006; 82:274-278. Large series that indicates that although these stents successfully provide for immediate relief of airway obstructive symptoms, the long-term usage of these indwelling devices is clearly associated with an unacceptable rate of complications.
10. Gildea TR, Murthy SC, Sahoo D, et al. Performance of a self-expanding silicone stent in palliation of benign airway conditions. Chest 2006; 130:1419-1423.
11. Aboulker P, Sterkers JM, Demaldent JE. Adjustments in Rethi's intervention, with an interest in laryngotracheal and tracheal stenosis [in French]. Ann Otolaryngol (Paris) 1966; 83:98-106.
12. Montgomery WW. T-tube tracheal stent. Arch Otolaryngol1965; 82:320-321.
13. Choi SS, Zalzal GH. Pitfalls in laryngotracheal reconstruction. Arch Otolaryngol Head Neck Surg 1999; 125:650-653.
14. Evans JN. Laryngotracheoplasty. Otolaryngol Clin North Am 1977; 10:119-123.
15. Cotton RT. Pediatric laryngotracheal stenosis. J Pediatr Surg 1984; 19:699-704.
16. Grahne B. Surgical treatment of severe traumatic and functional stenosis of the larynx [in German]. HNO 1973; 21:234-236.
17. Mohr RM. A modification of the Aboulker stent for reduction of granulation tissue that allows tracheotomy changes. Laryngoscope 1992; 102:350-353.
18. Stern Y, Willging JP, Cotton RT. Use of Montgomery T-tube in laryngotracheal reconstruction in children: is it safe? Ann Otol Rhinol Laryngol 1998; 107:1006-1009.
19. Crysdale WS. Subglottic stenosis in children: a management protocol plus surgical experience in 13 cases. Int J Pediatr Otorhinolaryngol 1983; 6:23-36.
20. Makris D, Marquette CH. Tracheobronchial stenting and central airway replacement. Curr Opin Pulm Med 2007; 13:278-283.
21. Thornton RH, Gordon RL, Kerlan RK, et al. Outcomes of tracheobronchial stent placement for benign disease. Radiology 2006; 240:273-282.
22. Arda IS, Boyvat F, Otgun I, et al. Preliminary experience with tracheal stent application in children with tracheal stenosis. Eur J Pediatr Surg 2007; 17:241-243. Limited follow-up study in children demonstrating initial symptom relief is easily achieved with tracheal stents.
23. Eller RL, Livingston WJ 3rd, Morgan CE, et al. Expandable tracheal stenting for benign disease: worth the complications? Ann Otol Rhinol Laryngol 2006; 115:247-252. This study highlights the difficulties associated with the usage of stents for benign airway disease, and harshly condemns their use except in cases in which formal reconstructive surgery is not warranted or is contraindicated.