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Endoscopic balloon dilatation of subglottic stenosis

Published online by Cambridge University Press:  29 June 2007

P. R. Axon ,
C. Hartley  and
M. P. Rothera
P. R. Axon
Affiliation:
Department of Otolaryngology, Royal Manchester Children's Hospital, University of Manchester, UK.
C. Hartley*
Affiliation:
Department of Otolaryngology, Royal Manchester Children's Hospital, University of Manchester, UK.
M. P. Rothera
Affiliation:
Department of Otolaryngology, Royal Manchester Children's Hospital, University of Manchester, UK.
*
Mr C. Hartley, University Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
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Abstract

Children with subglottic stenosis present a challenging problem to otolaryngologists. In many cases, a tracheostomy is necessary to safeguard the airway, but morbidity and mortality in the tracheostomized child may be significant. Therefore attempts to improve the airway by endoscopic means are often made; unfortunately, these have a variable success rate. Recent encouraging results in the use of balloon dilatation for subglottic stenosis led us to the successful use of this technique in a child whose stenosis had not responded to conventional endoscopic techniques. The reasons for the success are discussed.

Keywords

LaryngostenosisChildBalloon dilatation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 9 , September 1995 , pp. 876 - 879
Copyright
Copyright © JLO (1984) Limited 1995

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References

Bagwell, C. E. (1990) CO2 laser excision of pediatric airway lesions. Journal of Pediatric Surgery 25(11): 1152–1156.CrossRefGoogle ScholarPubMed
Brown, S. B., Hedlund, D. O., Glasier, C. M., Williams, K. D., Greenwood, L. H., Gilliland, J. D. (1987) Tracheobronchial stenosis in infants: successful balloon dilatation therapy. Radiology 164: 475–478.CrossRefGoogle Scholar
Bryce, D. P. (1975) The laryngeal subglottis. Journal of Laryngology and Otology 89: 667–685.CrossRefGoogle ScholarPubMed
Campbell, B. H., Dennison, B. F., Durkin, G. E., Strigenz, M. A., Toohill, R. J. (1986) Early and late dilatation for acquired subglottic stenosis. Otolaryngology–Head and Neck Surgery 95(5): 566–573.Google Scholar
Cohen, M. D., Weber, T. R., Roa, C. C. (1984) Balloon dilatation of tracheal and bronchial stenosis. American Journal of Radiology 142: 477–478.Google Scholar
Cotton, R. T. (1984) Pediatric laryngotracheal stenosis. Journal of Pediatric Surgery 19(6): 699–704.Google Scholar
Cotton, R. T. (1985) Prevention and management of laryngeal stenosis in infants and children. Journal of Pediatric Surgery 20(6): 845–851.CrossRefGoogle ScholarPubMed
Cotton, R. T., Myer, C. M. 3rd, O'Connor, D. M. (1992) Innovations in pediatric laryngotracheal reconstruction. Journal of Pediatric Surgery 27(2): 196–200.CrossRefGoogle ScholarPubMed
Couraud, L., Hafez, A., Velly, J. F., Gironnet, I. (1985) Current reconstructive management of subglottic stenosis of the larynx with reference to 60 consecutively treated cases. Thoracic and Cardiovascular Surgeon 33(5): 263–267.CrossRefGoogle Scholar
Dedo, H. H., Sooy, C. D. (1984) Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro-trapdoor flap. Laryngoscope 94(4): 445–450.CrossRefGoogle ScholarPubMed
Elkerbout, S. C., Van Lingen, R. A., Gerritsen, J., Roorda, R. J. (1993) Endoscopic balloon dilatation of acquired airway stenosis in new born infants: a promising treatment. Archives of Disease in Childhood 68: 37–40.CrossRefGoogle Scholar
Gomez-Engler, H. E., Barker, A. F., Klein, R., Deitl, C. A., Macmanus, Q., Turstveit, J., Knight, R., Lawrence, H., Starr, A. (1980) Post-traumatic bronchial stenosis and acute respiratory insufficiency. Journal of Thoracic and Cardiovascular Surgery 79: 864–867.CrossRefGoogle ScholarPubMed
Gould, S. J. (1988) The pathology of neonatal endotracheal intubation and its relationship to subglottic stenosis. Journal of Laryngology and Otology 17 (suppl,): 3–7.CrossRefGoogle ScholarPubMed
Groff, D. B., Allen, J. K. (1985) Greuntzig balloon catheter dilatation for acquired bronchial stenosis in an infant. Annals of Thoracic Surgery 39: 379–381.Google Scholar
Healy, G. B. (1989) Subglottic stenosis. Otolaryngologic Clinics of North America 22: 599–606.Google Scholar
Hebra, A., Powell, D. D., Smith, C. D., Othersen, H. B. Jr, (1991) Balloon tracheoplasty in children: results of a 15-year experience. Journal of Pediatric Surgery 26(8): 957–961.CrossRefGoogle ScholarPubMed
Hood, R. M., Sloan, H. E. (1959) Injuries of the trachea and major bronchi. Journal of Thoracic and Cardiovascular Surgery 38(4): 458–480.Google Scholar
Kotton, B. (1979) The treatment of subglottic stenosis in children by prolonged dilatation. Laryngoscope 89: 1983–1990.Google Scholar
Lobe, T. E., Hayden, C. K., Nicolas, D., Richardson, C. J. (1987) Successful management of congenital tracheal stenosis in infancy. Journal of Pediatric Surgery 22(12): 1137–1142.Google Scholar
Lofgren, L. A. (1988) Treatment of severe subglottic stenosis in children with the CO2 laser. A preliminary report on a few successful cases. Acta Otolaryngologica 449 (suppl.): 101–103.Google Scholar
Paris, F., Borro, J. M., Tarrazona, V., Cassilas, M., Galan, G., Caffarena, J. M., Seguy, J. (1990) Management of nontumoral tracheal stenosis in 112 patients. European Journal of Cardiothoracic Surgery 4: 265–269.Google Scholar
Philippart, A. I., Long, J. A., Greenholz, S. K. (1988) Balloon dilatation of post-operative tracheal stenosis. Journal of Pediatric Surgery 23(12): 1178–1179.Google Scholar
Seid, A. B., Pransky, S. M., Kearns, D. B. (1991) One-stage laryngotracheoplasty. Archives of Otolaryngology, Head and Neck Surgery 117(4): 408–410.CrossRefGoogle ScholarPubMed
Shapshay, S. M., Beamis, J. F., Dumon, J.-F. (1989) Total cervical tracheal stenosis: treatment by laser, dilation, and stenting. Annals of Otology, Rhinology and Laryngology 98: 890–895.Google Scholar
Whitehead, E., Salam, M. A. (1992) Use of the carbon dioxide laser with the Montgomery T-tube in the management of extensive subglottic stenosis. Journal of Laryngology and Otology 106: 829–831.CrossRefGoogle ScholarPubMed