External bioresorbable airway rigidification to treat refractory localized tracheomalacia.

Details

Serval ID
serval:BIB_B20B0F306CE0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
External bioresorbable airway rigidification to treat refractory localized tracheomalacia.
Journal
The Laryngoscope
Author(s)
Gorostidi F., Reinhard A., Monnier P., Sandu K.
ISSN
1531-4995 (Electronic)
ISSN-L
0023-852X
Publication state
Published
Issued date
11/2016
Peer-reviewed
Oui
Volume
126
Number
11
Pages
2605-2610
Language
english
Notes
Publication types: Evaluation Studies ; Journal Article
Publication Status: ppublish
Abstract
Our study evaluates the efficacy of extraluminal bioresorbable plates to treat refractory localized airway malacia in patients undergoing corrective surgery for complex multilevel laryngotracheal stenosis.
Retrospective case series.
Secondary malacic airway segments were characterized (severity, site, type) by a dynamic transnasal flexible laryngotracheobronchoscopy before surgery. Extraluminal bioresorbable plates were used to stabilize the malacic segment through a transcervical approach under intraoperative flexible endoscopic guidance. Results were evaluated subjectively and by a postoperative dynamic endoscopy. We report our experience in seven patients (6 children, 1 adult).
External tracheal stiffening allowed complete or partial resolution of refractory proximal airway malacia in six of seven complex cases described (result in one case is awaited). It allowed quick decannulation in four of seven patients who experienced multiple previous failures. Decannulation failures were due to recurrence of stenosis. With up to 2 years of follow-up, we report no direct complications related to the presence of extraluminal bioresorbable plates around the airway.
Extraluminal biodegradable tracheal stiffening represents a valid therapeutic option in select cases of upper airway malacia. It can be highly useful in cases of complex multilevel airway obstructions. External stiffening needs to be planned on a case-to-case basis according to the type of malacia and must be performed under endoscopic guidance.
4. Laryngoscope, 126:2605-2610, 2016.

Keywords
Absorbable Implants, Adult, Airway Obstruction/etiology, Airway Obstruction/surgery, Bronchoscopy/methods, Child, Child, Preschool, Device Removal, Female, Follow-Up Studies, Humans, Infant, Laryngoscopy/methods, Male, Recurrence, Retrospective Studies, Trachea/surgery, Tracheal Stenosis/complications, Tracheal Stenosis/surgery, Tracheomalacia/complications, Tracheomalacia/surgery, Treatment Outcome, Tracheomalacia, biodegradable, extraluminal, pediatric airway, stent, stiffening, trachea
Pubmed
Web of science
Create date
17/03/2016 19:00
Last modification date
20/08/2019 16:20
Usage data