OBJECTIVES The purpose of this study was to assess the long-term results of endoscopic dilatation of airway stenosis and to evaluate predictive factors for favorable results. METHODS Fifty-four patients with tracheal and subglottic stenosis who underwent endoscopic dilatation with at least 12 months follow-up were enrolled in this study. We evaluated predictive factors for final treatment out...

http://ccn.aacnjournals.org Lorri M. Phipps is a pediatric nurse practitioner and Jill A. Raymond is a clinical staff nurse in the pediatric intensive care unit, Departments of Pediatrics and Nursing, Division of Critical Care, at Penn State Children’s Hospital, Hershey, Pa. Tammy M. Angeletti is a pediatric respiratory specialist in the Department of Pediatrics, Division of Respiratory Therapy...

INTRALARYNGEAL FOREIGN BODY. On the afternoon of Saturday, December 10, 1955, Stephen, a boy aged 14 months, was playing on the kitchen floor when his mother suddenly noticed that his breathing had become wheezy. His medical practitioner diagnosed a foreign body in the airpassages and he was brought to Dunedin Hospital for emergency treatment. Immediate bronchoscopy under general anaesthesia sh...

PURPOSE We aimed to determine the feasibility, safety, and effectiveness of radiology-guided forceps biopsy and airway stenting in patients with severe airway stenosis. MATERIALS AND METHODS This study involved 28 patients with severe airway stenosis who underwent forceps biopsy between October 2006 and September 2011. Chest multislice computed tomography was used to determine the location an...

Airway stents (silicone and metal stents) are used to treat patients with benign tracheal stenosis, who are symptomatic and in whom tracheal surgical reconstruction has failed or is not appropriate. However airway stents are often associated with complications such as migration, granuloma formation and mucous hypersecretion, which cause significant morbidity, especially in patients with benign ...

Tracheobronchomalacia (TBM) is characterized by weakness of cartilaginous supporting structures of tracheal and bronchial walls, resulting in central airway obstruction. It is a rare condition that can occur after prolonged intubation. Here, we report a 26-year-old, alcoholic male who had TBM, mild subglottic, and severe tracheal stenosis following 2 weeks of intubation. Subglottic and tracheal...

BACKGROUND Bronchoscopic balloon dilatation (BBD) is a common strategy in the treatment of bronchostenosis. However, the longer dilating time in each inflation cycle (approximately 3-5 min) without mechanical ventilation is not possible for the treatment of tracheal stenosis. CASE PRESENTATION In this study, we reported our experience of BBD with shorter dilating time (10 s or 1 min) and inte...

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: Anastomotic breakdown and anastomotic leak. We describe a case of 24-year-old man who was treated for a 4 to 5 cm tracheal stenosis secondary to a prolonged intubation and tracheostomy after organophosphorus poisio...

OBJECTIVE To describe the presentation of, factors contributing to, and treatment of iatrogenic airway stenosis (IAS) associated with recurrent respiratory papillomatosis (RRP). DESIGN Retrospective case series. SETTING Pediatric tertiary care center. PATIENTS The charts of patients treated for RRP in our institution from 1980 to 1995 (N=50) were reviewed. Seven patients were identified a...

A case of successful endotracheal intubation using an image intensifier in a 9-year-old boy with tracheal stenosis was reported. After the induction of anesthesia, the trachea was observed by use of mobile surgical X-ray apparatus under artificial ventilation using a face mask. Because the tracheal wall of the stenotic part was smooth and seemed soft, we selected a plain 5.5 mm diameter endotra...