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Treatment of combined subglottic and critically low tracheal stenoses secondary to burn inhalation injury

Published online by Cambridge University Press:  29 June 2007

C. I. Timon ,
D. McShane ,
E. McGovern  and
M. Walsh
C. I. Timon*
Affiliation:
Department of Otolaryngology, St. James's Hospital.
D. McShane
Affiliation:
Department of Otolaryngology, St. James's Hospital.
E. McGovern
Affiliation:
Department of Cardiothoracic Surgery, St. James' Hospital.
M. Walsh
Affiliation:
Department of Otolaryngology, St. James's Hospital.
*
C. I. Timon, Room 1.808, Conacher Wing, Toronto General Hospital, 200 Elizabeth Street, Toronto, Ontario M5G 2C4
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Abstract

We report a case of combined severe subglottic and lower tracheobronchial stenoses after an inhalation burn injury. The patient was successfully treated by the insertion of a bifurcated silicone rubber stent. The proximal limb of the silicone tube was used to stent the subglottic stenosis after it had been resected, a treatment option not previously reported. It is speculated that the diffuse airway damage resulted from a combination of thermal injury, mechanical trauma and infection. The relatively late symptomatic presentation of the lower tracheal stricture is stressed and the treatment options discussed.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 11 , November 1989 , pp. 1083 - 1086
Copyright
Copyright © JLO (1984) Limited 1989

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References

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