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

J. Lindhe Guarisco, Christina J. Yang

Research output: Contribution to journalArticle

10 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1676-1681
Number of pages6
JournalJournal of Pediatric Surgery
Volume48
Issue number8
DOIs
StatePublished - Aug 2013
Externally publishedYes

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Tracheotomy
Airway Management
Dilatation
Pathologic Constriction
Tracheal Stenosis
Laryngostenosis
Tertiary Care Centers
Stents
Pediatrics

Keywords

  • Balloon dilation
  • Subglottic stenosis
  • Tracheal stenosis

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Balloon dilation in the management of severe airway stenosis in children and adolescents. / Guarisco, J. Lindhe; Yang, Christina J.

In: Journal of Pediatric Surgery, Vol. 48, No. 8, 08.2013, p. 1676-1681.

Research output: Contribution to journalArticle

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