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Article contents
How I do it: novel use of a modified nasopharyngeal airway in laryngotracheal stenosis as a temporary stent
Published online by Cambridge University Press: 06 November 2023
Abstract
Background
This paper reports the innovative use of a modified nasopharyngeal airway device as a temporary stent in patients with laryngotracheal stenosis. It also discusses the technique of endoscopic stent placement, and our experience in terms of the indications and suitability.
Method
The nasopharyngeal airway device was modified to use as an airway stent by trimming it to the desired length. Next, the stent was inserted endoscopically and anchored using a novel approach.
Results
The surgery was performed successfully without complications. The patients had full use of their voice while the stent was in situ. No significant granulation tissue was observed.
Conclusion
This paper demonstrates the feasibility of using a nasopharyngeal airway device as a temporary stent to prevent restenosis in cases where the patients have a strong demand for phonation. The modified nasopharyngeal airway device is potentially very promising, but cases must be selected carefully to avoid compromising efficacy and safety.
- Type
- Short Communications
- Information
- Copyright
- Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED
Footnotes
Sien Hui Tan takes responsibility for the integrity of the content of the paper
References
Mandal, NG, Muralidhar, V, Kumar, S, Kaul, HL, Ghosh, P. Laryngeal changes following long-term stenting with polyvinyl chloride tubes. Natl Med J India 1995;8:213–15Google ScholarPubMed
Glikson, E, Abbass, A, Carmel, E, Primov-Fever, A, Alon, EE, Wolf, M. Endoscopic management of benign laryngo-tracheal stenosis: balloon vs. rigid dilatation. Isr Med Assoc J 2021;23:297–301Google ScholarPubMed
Lee, P, Kupeli, E, Mehta, AC. Airway stents. Clin Chest Med 2010;31:141–5010.1016/j.ccm.2009.08.002CrossRefGoogle ScholarPubMed
Bourinet, V, Raguin, T, Fortin, M, Chetrit, E, Guinde, J, Laroumagne, S et al. Experience with transcordal silicone stents in adult laryngotracheal stenosis: a bicentric retrospective study. Respiration 2018;95:441–810.1159/000487242CrossRefGoogle ScholarPubMed
Saxena, A, Kaul, HL, Saxena, N, Agarwal, HC, Chopra, P. Tissue reactions to indigenous endotracheal tube in rabbits. Indian J Med Res 1984;79:67–8Google Scholar
Saxena, A, Kaul, HL, Saxena, N, Chopra, P. Endotracheal tube toxicity testing by subconjunctival and intramuscular implantation. Indian J Med Res 1987;85:461–6Google ScholarPubMed
Yu, SY, Liu, YH, Hsieh, MJ, Ko, PJ. Temporary stenting of acute airway stenosis with endotracheal tube--an effective method. Int J Clin Pract 2010;64:103–510.1111/j.1742-1241.2006.01080.xCrossRefGoogle ScholarPubMed
Gustafson, LM, Hartley, BE, Liu, JH, Link, DT, Chadwell, J, Koebbe, C et al. Single-stage laryngotracheal reconstruction in children: a review of 200 cases. Otolaryngol Head Neck Surg 2000;123:430–410.1067/mhn.2000.109007CrossRefGoogle ScholarPubMed
Jacobs, JP, Elliott, MJ, Haw, MP, Bailey, CM, Herberhold, C. Pediatric tracheal homograft reconstruction: a novel approach to complex tracheal stenoses in children. J Thorac Cardiovasc Surg 1996;112:1549–58; discussion 1559–6010.1016/S0022-5223(96)70014-4CrossRefGoogle ScholarPubMed
Prasanna Kumar, S, Ravikumar, A, Senthil, K, Somu, L, Nazrin, MI. Role of Montgomery T-tube stent for laryngotracheal stenosis. Auris Nasus Larynx 2013;41:195–20010.1016/j.anl.2013.10.008CrossRefGoogle ScholarPubMed
Mace, A, Sandhu, G, Howard, D. Securing tracheal stents: a new and simple method. J Laryngol Otol 2005;119:207–810.1258/0022215053561549CrossRefGoogle ScholarPubMed