Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-27T22:52:05.795Z Has data issue: false hasContentIssue false
  • English
  • Français

Use of the carbon dioxide laser with the Montgomery T-tube in the management of extensive subglottic stenosis

Published online by Cambridge University Press:  29 June 2007

Edward Whitehead  and
M. A. Salam
Edward Whitehead*
Affiliation:
Hull
M. A. Salam
Affiliation:
Hull
*
Department of Otolaryngology—Head and Neck Surgery, Hull Royal Infirmary, Anlaby Road, Hull, North Humberside.
Get access Rights & Permissions [Opens in a new window]

Abstract

Subglottic and tracheal stenosis frequently present difficulties in management.

Two cases of subglottic stenosis occurring after prolonged endotracheal intubation are presented where the vertical length of complete obstruction by scar tissue was greater than 2.5 cm. One case was successfully managed by the use of the laser and immediate insertion of a stent. The other case still requires subglottic stenting, although an excellent lumen was established by laser vaporization of the stenosed segment.

Keywords

LaryngostenosisLaser surgeryStents
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 9 , September 1992 , pp. 829 - 831
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Friedman, E. M., Healy, G. B., McGill, T. J. (1983) Carbon dioxide laser management of subglottic and tracheal stenosis. Otolaryngologic Clinics of North America, 16: 871–877.CrossRefGoogle ScholarPubMed
Halstead, L. A., Bowles, J. T. (1989) Management of postintubation and post-traumatic airway stenosis. Journal of South Carolina Medical Association, 85: 447–449.Google ScholarPubMed
Healy, G. B. (1982) Experimental model for the endoscopic correction of subglottic stenosis with clinical applications. Laryngoscope, 92: 1103–1115.CrossRefGoogle ScholarPubMed
McGovern, F. H., Fitz-Hugh, G. S., Edgemon, L. J. (1971) The hazards of endotracheal intubation. Annals of Otology, Rhinology and Laryngology, 80: 556–564.CrossRefGoogle ScholarPubMed
Montgomery, W. W., Montgomery, S. K. (1990)Manual for the use of Montgomery laryngeal, tracheal and oesophageal prostheses. Update 1990. Annals of Otology, Rhinology and Laryngology, 99: 2–28.CrossRefGoogle Scholar
Ossaff, R. H., Tucker, G. F.Duncavage, J. A., Toohill, R. J. (1985) Efficiency of bronchoscopic carbon dioxide laser surgery for benign strictures of the trachea. Laryngoscope, 95: 1220–1223.CrossRefGoogle Scholar
Sasaki, C. T.Horiuchi, M., Koss, N. (1979) Tracheostomy related subglottic stenosis: bacteriologic pathogenesis. Laryngoscope, 89: 857–865.CrossRefGoogle ScholarPubMed
Schmidt, F. W., Piazza, L. S., Chipman, T. J., Campbell, B. H., Toohill, R. J. (1986) Otolaryngology—Head and Neck Surgery, 95: 485–490.CrossRefGoogle Scholar
Shapshay, S. M.Beamis, J. R.Hybels, R. L., Bohigan, R. K. (1987) Endoscopic treatment of subglottic and tracheal stenosis by radial laser incision and dilation. Annals of Otology, Rhinology and Laryngology, 96: 661–664.CrossRefGoogle ScholarPubMed
Simpson, G. T., Strong, M. S., Healy, G. B., Shapshay, S. M.Vaughan, C. W. (1982) Predictive factors of success or failure in the endoscopic management of laryngeal and tracheal stenosis. Annals of Otology, Rhinology and Laryngology, 91: 384–388.CrossRefGoogle ScholarPubMed
Strong, M. S., Healy, G. B., Vaughan, C. W., Fried, M. P., Shapshay, S. M. (1979) Endoscopic management of laryngeal stenosis. Otolaryngologic Clinics of North America, 12: 797–805.CrossRefGoogle ScholarPubMed
Weymuller, E. A. (1988) Laryngeal injury from prolonged endotracheal intubation. Laryngoscope, 98: 1–15.CrossRefGoogle ScholarPubMed