CO2 laser and Gianturco stent for endoscopic treatment of tracheal stenosis.
(1995) Acta Oto-Rhino-Laryngologica Belgica — Vol. 49, n° 4, p. 351-357 (1995)
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- Abstract
- The self-expandable Gianturco stent was used in eleven cases of tracheal stenosis treated from September 92 to July 94. The stent is placed through a 9 mm outside diameter bronchoscope under optical control after cross-section and dilation of the stenosis with the CO2 laser according to the Shapshay technique. The follow-up varies from 3 to 22 months with a mean of 12 +/- 6 months. Pulmonary function tests (PFTs) show a mean improvement of the PEF (peak expiratory flow). Complications have been corrected in three patients with a second endoscopic procedure: the first case for malposition, the second for granuloma at the superior end of the prosthesis, and the third for the development of a mucous membrane webbing between the two loops of the stent. Owing to the lack of long-term follow-up, we reserve this technique for the treatment of severe tracheal stenosis with cartilage impairment in patients contraindicated when external reconstructive surgery is contraindicated.
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Citations
Remacle, M., Lawson, G., Minet, M., Mayné, A., Watelet, J. B., & Jamart, J. (1995). CO2 laser and Gianturco stent for endoscopic treatment of tracheal stenosis. Acta Oto-Rhino-Laryngologica Belgica, 49(4), 351-357. https://hdl.handle.net/2078.5/130449 (Original work published 1995)