A Modified Laryngeal Stent for Glotto-Subglottic Stenosis: A Novel Stent for Better Outcomes

Jeffrey D. Wilcox, Michel Nassar

Research output: Contribution to journalArticle

Abstract

Management of laryngotracheal stenosis is challenging and laryngotracheal stenosis is generally managed with laryngotracheal reconstruction. Stents are often used as part of the reconstructive surgery. Although most stents adequately stabilize the reconstruction during healing, they often do a poor job of mimicking glottic anatomy, particularly the anterior glottis. Here, we present a modified suprastomal stent designed to stabilize reconstruction after laryngotracheal reconstruction while also improving postoperative glottic anatomy and function. The case of a 15-year-old tracheostomy-dependent patient with glotto-subglottic stenosis who underwent laryngotracheal reconstruction using this modified stent is described. The patient had an excellent outcome with decannulation of her tracheostomy and significant improvement in voice.

Original languageEnglish (US)
JournalEar, Nose and Throat Journal
DOIs
StateAccepted/In press - Jan 1 2019

Keywords

  • glottic stenosis
  • glotto-subglottic stenosis
  • laryngeal stent
  • laryngotracheal reconstruction
  • suprastomal stent

ASJC Scopus subject areas

  • Otorhinolaryngology

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