Polyflex™ stenting of tracheomalacia after surgery for congenital tracheal stenosis

Summary Polyflex™ self-expanding stents (Rüsch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resec...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2007-01, Vol.71 (1), p.159-163
Main Authors: Tibballs, James, Fasulakis, Stephen, Robertson, Colin F, Berkowitz, Robert G, Massie, John, Brizard, Christian, Rose, Elizabeth, Bekhit, Elhamy, Eyres, Robert, Ragg, Philip
Format: Article
Language:English
Subjects:
Aorta, Thoracic - transplantation
Bronchial Diseases - complications
Bronchial Diseases - surgery
Cartilage Diseases - etiology
Cartilage Diseases - surgery
Child
Constriction, Pathologic - complications
Constriction, Pathologic - surgery
Humans
Infant
Otolaryngology
Pediatrics
Postoperative Complications - surgery
Prosthesis Design
Stent
Stents
Trachea - abnormalities
Trachea - surgery
Tracheal stenosis
Tracheal Stenosis - complications
Tracheal Stenosis - congenital
Tracheal Stenosis - surgery
Transplantation, Homologous
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Summary:Summary Polyflex™ self-expanding stents (Rüsch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resection and autotracheoplasty. However, in all cases persistent lower tracheal malacia necessitated stenting. Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2006.07.026