Balloon dilation in the management of severe airway stenosis in children and adolescents

Guarisco, J. L. and Yang, C. J. (2013) Balloon dilation in the management of severe airway stenosis in children and adolescents. Journal of Pediatric Surgery, 48 8: 1676-1681. doi:10.1016/j.jpedsurg.2012.12.035

Author Guarisco, J. L.
Yang, C. J.
Title Balloon dilation in the management of severe airway stenosis in children and adolescents
Journal name Journal of Pediatric Surgery   Check publisher's open access policy
ISSN 0022-3468
Publication date 2013-01-01
Sub-type Article (original research)
DOI 10.1016/j.jpedsurg.2012.12.035
Open Access Status Not yet assessed
Volume 48
Issue 8
Start page 1676
End page 1681
Total pages 6
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Language eng
Subject 2746 Surgery
2735 Pediatrics, Perinatology, and Child Health
Abstract Background/Purpose Children and adolescents with airway stenosis pose a clinical challenge. Recently, balloon dilation has been described, primarily for the treatment of early, immature, less severe airway stenosis. We describe our experience with 8 children and adolescents managed with balloon dilation, including severe, mature subglottic and tracheal stenosis. Methods This is a case series of 8 children and adolescents with acquired subglottic and tracheal stenosis treated by the primary author with balloon dilation between August 2006 and April 2010 at an academic tertiary care center. In the four patients who were tracheotomy-dependent at the time of presentation, suprastomal stents or Montgomery T-tubes were used. In 1 patient with 99% subglottic stenosis (SGS), balloon dilation and stenting were used to create a lumen prior to laryngotracheal reconstruction (LTR). Results All 4 patients with tracheotomy were decannulated. The remaining 4 patients were successfully managed without tracheotomy. Conclusions Mature, severe laryngeal and tracheal stenosis in pediatric patients can be successfully managed with balloon dilation. In the most severe cases with prior tracheotomy, stenting is necessary. Balloon dilation with stenting can also facilitate LTR. In patients without prior tracheotomy, tracheotomy and stenting can often be safely avoided with appropriate postoperative management.
Keyword Balloon dilation
Subglottic stenosis
Tracheal stenosis
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
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Created: Mon, 14 Apr 2014, 20:22:47 EST by Matthew Lamb on behalf of School of Medicine