Endotracheale Silikonstents im Therapiemanagement benigner Trachealstenosen

Dörffel, W.; Kaschke, Oliver

doi:10.1007/s001060170014

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…The advent of silicone stents for airway stenosis has increased the number of patients that can be managed through endoscopic means. External and internal fixation of these stents can decrease the rates of migration …”

Section: Discussionmentioning

confidence: 99%

“…In particular, stent migration has been commonly reported in the literature, ranging from 16–34% . Techniques to prevent migration include appropriate stent size, design of stents, or methods to secure the stent in place . Multiple techniques to endoscopically secure stents or keels exist, but these are oftentimes tedious and cumbersome, and can even require devoted surgical instruments (ie, Lichtenberger needle) .…”

Section: Introductionmentioning

confidence: 99%

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The suction‐assisted endoscopic suture technique: A simple method for endotracheal suturing

Charous

Westfall

2019

The Laryngoscope

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Background: Silicone stents are commonly employed to treat subglottic stenosis. A frequent complication is the tendency of stents to migrate. As such, various techniques to secure stents have been developed over the years, none of which have gained large popularity. We present a novel, low-cost, and easy-to-perform technique herein.Objectives: To describe a novel surgical technique to secure silicone stents and prevent migration for management of subglottic stenosis.Materials and Methods: After standard excision and dilation of stenotic portions in the subglottic or trachea. A silicone stent is introduced in a standard fashion. To secure the stent, an 18-G needle loaded with braided suture is inserted through skin, trachea, and stent. Endoscopic visualization then permits the surgeon to grasp the suture with forceps. A separate transcutaneous puncture site is performed with an 18-G needle attached to a 10-cc syringe (plunger removed) and blue tip suction within the empty syringe, creating an airtight suctioning tool. The grasped suture is gently introduced into the eye of the needle and quickly travels into the 10-cc syringe with suction assist, leaving both extracorporeal ends of the suture to tie.Results: This stitch has been employed on seven occasions on four patients. There have been no episodes of stent migration. A laboratory model found the 18-G needle and braided 3-0 suture performed optimally.Conclusions: We present a novel surgical technique to secure silicone stents in management subglottic or tracheal stenosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The suction‐assisted endoscopic suture technique: A simple method for endotracheal suturing

Charous

Westfall

2019

The Laryngoscope

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“…Migration of stent is still a serious clinical issue, with a reported migration rate of 16.6–24% in silicone stents [ 12 , 13 ] and 2.2–6.4% in metal stent [ 12 , 14 ]. Thus, it calls for effective measures to prevent the tracheal stents from migrating.…”

Section: Discussionmentioning

confidence: 99%

“…Martinez-Ballarin et al reported the rate of migration of stents as 17.5%, [ 11 ] and Park et al found migration of stents in 34% patients [ 9 ]. Migration of silicone stents is reported to be 16.6–24%, [ 12 , 13 ] and migration of metal stent is reported as 2.2–6.4% [ 12 , 14 ]. Stent migration brings a lot of pain to the patient and increase therapy cost.…”

Section: Introductionmentioning

confidence: 99%

Suture fixation of tracheal stents for the treatment of upper trachea stenosis: a retrospective study

Huang

Zhang

2018

J Cardiothorac Surg

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BackgroundStent migration is a common complication in treating trachea stenosis. There is no report concerning suture fixation of tracheal stent. The aim of this study was to investigate whether suture fixation of tracheal stent could avoid stent migration in patients with upper trachea stenosis. The complications were further investigated.MethodsThe patients with upper trachea stenosis who underwent tracheal stent placement for benign/malignant conditions in our hospital between May 2016 and April 2018 were retrospectively reviewed. Clinical data were collected for each patient, including age, gender, co-morbid diseases, site of tracheal obstruction, degree of tracheal obstruction, success of stent placement, impact on patient’s symptoms, complications, etc.ResultsEleven patients (8 males and 3 females; range of age: 17–85, and average age of 63) were enrolled into this study. Six silicone stents and five membrane-covered metal stents were used. The surgery was successfully performed in all the cases. The postoperative recovery was uneventful. All symptoms of the patients were relieved. No complications occurred. The average follow-up for patients was 5 months (range of 1–13 months). During the follow-up, no stent migration was observed according to CT and bronchoscope.ConclusionThe results suggested that suture fixation of stents could avoid stent migration in treating upper trachea stenosis with metal stent or silicone stent. This method seemed to be effective without operation complications.

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“…Therefore, some authors have investigated the feasibility of tracheobronchial stent placement under direct visual control without using fluoroscopy. 15,17,18 Laryngologists are not routinely involved in many interdisciplinary airway stenting teams, although their experience with endoscopic airway procedures should encourage them to participate in the endoscopic management of these patients. 15…”

Section: Introductionmentioning

confidence: 99%

Suspension Laryngoscopy for Endotracheal Stenting

et al. 2003

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Endotracheale Silikonstents im Therapiemanagement benigner Trachealstenosen

Abstract: Long term results have shown that this technique is associated with high efficiency and infrequent complications which are not life-threatening. Advantages consist in a minor-invasive technique with small expenditure of time.

Cited by 6 publications

References 13 publications

The suction‐assisted endoscopic suture technique: A simple method for endotracheal suturing

The suction‐assisted endoscopic suture technique: A simple method for endotracheal suturing

Suture fixation of tracheal stents for the treatment of upper trachea stenosis: a retrospective study

Suspension Laryngoscopy for Endotracheal Stenting

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