Technique, Utility, and Safety of Awake Tracheoplasty Using Combined Laser and Balloon Dilation

Abstract

Combined Nd:YAG laser incision and balloon dilation in an awake, spontaneously breathing patient is a safe and effective management tool in the treatment of laryngotracheostenosis. This technique may be particularly beneficial in patients who are at increased risk for general anesthesia such as those with morbid obesity or who have had a history of airway problems during anesthesia.

Serial intralesional steroid injection combined with balloon dilation as an alternative to open repair of subglottic stenosis

“…The role for dual or multi-modality intervention including the use of an endoscopic laser or pharmacologic agents prior to the balloon dilation is yet to be elucidated [7]. We suggest a potential role for intraoperative steroid injection.…”

Surgical management of airway stenosis by radiofrequency coblation

“…1 However, re-stenosis rates post-intervention remain significant, ranging from 20 to 40 per cent following open procedures and from 40 to 70 per cent following endoscopic techniques. 2 Radiofrequency coblation (often considered synonymous with 'controlled ablation') is a plasmabased technology, first utilised in orthopaedics. Its use in otolaryngology, and head and neck surgery is increasing.…”

The Efficacy of Microwave Therapy via Bronchofiberscope in the Treatment of Severe Trachea Stenosis

“…In addition, the laser beam induced tissue vaporization produces a signi¯cant amount of harmful and irritant gas, which would result in alveolar damage and trachea burns if not removed instantaneously. 2,4 Argon plasma coagulation is a technology for tissue coagulation through using high-frequency electric energy and ionized argon gas. It makes less smoke in tissue cauterization and a thinner layer of scalding and necrosis at a faster cutting speed than using a laser beam.…”