Bronchoscopic Balloon Dilatation in the Combined Management of Postintubation Stenosis of the Trachea in Adults

• DOI: 10.1378/chest.112.4.1136
• Publication Date: 2008-01-22T22:31:17Z
• Authors: Marc Noppen; Marc Schlesser; Marc Meysman; Jan D'Haese; Rudi Peche; Walter Vincken
• Keywords: Adult; Male; Neodymium; Silicones; Equipment Design; Combined Modality Therapy; Respiration, Artificial; Catheterization; 3. Good health; 03 medical and health sciences; Tracheostomy; 0302 clinical medicine; Foreign-Body Migration; Recurrence; Bronchoscopy; Intubation, Intratracheal; Humans; Aluminum Silicates; Stents; Yttrium; Laser Therapy; airway stents; bronchoscopy; Nd-YAG laser; trachea; Tracheal Stenosis; Angioplasty, Balloon

Bronchoscopic balloon dilatation (BBD) using angioplasty balloon catheters has been employed successfully in the treatment of tracheobronchial stenoses in children and has worked with variable success in adults with bronchial stenosis. In adults with tracheal stenosis, BBD only has been reported anecdotally. In this study, experience with BBD using a valvuloplasty balloon catheter in the combined treatment (with Nd-YAG laser photoresection and stenting) of severe benign postintubation tracheal stenoses in three adults is delineated. BBD was particularly successful in establishing tracheal patency when laser photoresection was contraindicated or was too dangerous; BBD allowed easy insertion of tracheal stents and the "opening" of folded silicone stents. BBD is a simple, inexpensive, safe, and efficient adjunct in the combined treatment of severe postintubation rigid tracheal stenosis in selected adults.