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Endoscopic treatment of tracheal stenosis using the carbon dioxide laser and the Gianturco stent: indications and results.

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Remacle, Marc [MONT] Lawson, Georges [MONT] Minet, Michèle [UCL] Mayné, Alain [MONT] Watelet, J B Jamart, Jacques

The self-expandable Gianturco stent was used in 11 patients with tracheal stenosis who where treated from September 1992 through July 1994. Under optical control, the stent was placed through a bronchoscope with an outside diameter of 9 mm after cross-section and dilation of the stenosis were performed with the carbon dioxide laser according to the Shapshay technique. The follow-up period varied from 3 to 22 months, with a mean of 12 +/- 6 months. Pulmonary function tests showed a mean improvement of the peak expiratory flow (50%), from 0.95+/-0.45 L/sec before the operation to 2.13+/-0.86 L/sec after the procedure. Radiologic and fibroscopic controls showed prosthesis stability. Three patients needed a second endoscopic procedure because of malposition of the stent, the formation of granuloma at the superior end of the prosthesis, and the development of a mucous membrane webbing between the two loops of a stent. Due to the lack of long-term follow-up, this technique is reserved for the treatment of severe tracheal stenosis with cartilage impairment in patients who have contraindications for external reconstructive surgery.

Document type Article de périodique (Journal article) – Journal Article
Publication date 1996
Journal information "The Laryngoscope" - Vol. 106, no. 3 Pt 1, p. 306-12 (1996)
Peer reviewed yes
issn 0023-852X
Publication status Publié
Affiliation UCL
MESH Subject Aged ; Bronchoscopy ; Female ; Humans ; Laser Therapy ; Male ; Middle Aged ; Stents ; Tracheal Stenosis - surgery ; Treatment Outcome
Links
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Bibliographic reference Remacle, Marc ; Lawson, Georges ; Minet, Michèle ; Mayné, Alain ; Watelet, J B ; et. al. Endoscopic treatment of tracheal stenosis using the carbon dioxide laser and the Gianturco stent: indications and results.. In: The Laryngoscope, Vol. 106, no. 3 Pt 1, p. 306-12 (1996)
Permanent URL http://hdl.handle.net/2078.1/32409