Reconstruction of the Pediatric airway with an open stented tracheotomy tube

Effect of stenting after laryngotracheal reconstruction in a subglottic stenosis model

“…Previous authors have enumerated the complications that are associated with stenting, including infection, migration, granulation tissue formation, restenosis, and ischemia. 7,[16][17][18] In addition, persistent hoarseness and decannulation difficulties have been attributed to granulation tissue formation caused by stenting in clinical series. 2,15,17,19 Thus the complications associated with stenting after LTR are well established and very much a reality in clinical practice.…”

Combined ‘trache-stent’: a useful option in the treatment of a complex case of subglottic stenosis

“…Speci c problems with the accumulation of dried secretions leading to stent obstruction did not appear to have been a major problem, but unfortunately they found that the effectiveness of the open stented tracheostomy tube was limited by granulation tissue formation. Willner et al 9 concluded that it did not provide a signi cant improvement over other stents in current use.…”

“…This Aboulker arrangement has been criticized however, 9 as it is not possible to examine the entire length of the stent in the clinic, and the stent fails to provide a normal voice. Wiring of the stent to tracheostomy tube has also led to its weakening and breakage.…”

“…Wiring of the stent to tracheostomy tube has also led to its weakening and breakage. 5 Willner et al 9 reported a small heterogeneous series of four patients [age range two to 65 years] who underwent laryngotracheal reconstruction for subglottic stenoses of different aetiologies. They evaluated the role of an 'open stented tracheotomy tube' that sought to combine a secure stenting of the surgical reconstruction with the advantages of easy evaluation and the bene ts of immediate postoperative voice and nutrition.…”

Early extubation following major tracheal surgery in select children

“…Despite these reports, it has been suggested that stents are beneficial to the tissues as they are healing, as they play a role in preventing scar contracture, thus avoiding the complication of a decrease in size of the reconstructed tracheal lumen [24]. Recent studies however, have demonstrated that the use of a stent may not offer a clinically beneficial advantage.…”