Search Our Scientific Publications & Authors

Radiol Case Rep 2019 Mar 26;14(3):377-380. Epub 2018 Dec 26.

Ospedale S.Giovanni Battista, Università Tor Vergata, Roma, Italy.

As an alternative treatment to immediate surgical repair, endotracheal stent placement has been recently proposed in cases of iatrogenic tracheal damages. We report a case of a 91-year-old male who developed sudden subcutaneous emphysema during a total laryngectomy for laryngeal carcinoma. A tracheal tear at the distal third of the posterior tracheal wall was endoscopically assessed about 2 cm above the carina; CT confirmed the breach approximately 4 cm in length with associated pneumomediastinum and bilateral pneumothorax. Read More

Int J Pediatr Otorhinolaryngol 2018 Dec 19;115:58-60. Epub 2018 Sep 19.

Pacific Coast Medical Inc, USA.

A 16-month old female was referred to our practice for laryngotracheal reconstruction (LTR) for acquired subglottic stenosis (SGS) diagnosed at 4 weeks of age due to prolonged intubation. She has a history of open thoracic repair of congenital tracheoesophageal fistula that was complicated by a pneumothorax and phrenic nerve paralysis. We performed a variation of an anterior and posterior cricoid split LTR with tracheal stenting in order to avoid risks of pulmonary morbidity from costochondral cartilage harvesting. Read More

Medicine (Baltimore) 2018 Jun;97(22):e10907

Department of Anesthesiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, PR China.

Rationale: Tracheobronchomalacia (TBM) refers to the weakening trachea or the trachea loss of structural integrity of airway cartilaginous structures. It causes tracheal stenosis, resulting in significantly high rates of mortality. Bronchoplasty by high-pressure balloon dilation under general anesthesia is a simple but effective and safe method to treat tracheobronchial stenosis. Read More

Pediatr Surg Int 2018 Jul 30;34(7):701-713. Epub 2018 May 30.

National Children's Research Centre, Our Lady's Children's Hospital, Dublin, Ireland.

Congenital malformations of the trachea include a variety of conditions that cause respiratory distress in neonates and infants. A number of anomalies are self-limiting while others are life-threatening and require immediate therapy. The prevalence of congenital airway malformations has been estimated to range between 0. Read More

JAMA 2018 06;319(21):2212-2222

Assistance Publique-Hôpitaux de Paris, Unité de Recherche Clinique, Hôpitaux Saint Louis-Lariboisière-Fernand Widal, Université Paris Diderot, Paris, France.

Importance: Airway transplantation could be an option for patients with proximal lung tumor or with end-stage tracheobronchial disease. New methods for airway transplantation remain highly controversial.

Objective: To establish the feasibility of airway bioengineering using a technique based on the implantation of stented aortic matrices. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2017 Nov;31(22):1711-1715

Department of Otorhinolaryngology Head and Neck Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.

To evaluate the feasibility and long-term outcome of radiofrequency coblation combined with silicon stent implantation in the treatment of recurrent laryngeal papilloma with extensive lesions. From March 2009 to April 2016, a total of 13 patients (8 males, 5 females; aged 28-67 years) who suffered recurrent laryngeal papilloma were enrolled in this retrospective study. All the cases had undergone at least one operation at other hospitals before this hospitalization. Read More

Ann Cardiothorac Surg 2018 Mar;7(2):210-216

Division of Thoracic Surgery, Massachusetts General Hospital, Boston, MA, USA.

Laryngotracheal trauma is a rare but potentially life-threatening injury. It is usually seen in multiple-trauma patients and can go unrecognized and undertreated due to its scarcity. The presenting symptoms often do not correlate with the severity of the injury and injuries may range from an endolaryngeal hematoma to a complete tracheal transection. Read More

Thorac Surg Clin 2018 May;28(2):177-187

Otolaryngology, Head and Neck Surgery Department, University Hospital CHUV, Rue du Bugnon 46, Lausanne CH 1011, Switzerland. Electronic address:

The management of pediatric laryngotracheal stenosis remains a challenging problem for the surgeon. The complexity of the various preoperative situations implies that no single treatment modality can solve the problem. This article focuses on the yield of partial cricotracheal resection and extended cricotracheal resection for the most severe grades of stenosis. Read More

Respiration 2018;95(6):441-448. Epub 2018 Apr 5.

Department of Thoracic Oncology, Pleural Diseases, and Interventional Pulmonology, North Hospital of Marseille, Aix-Marseille University, Marseille, France.

Background: Benign stenosis involving laryngeal and upper tracheal structures represents a therapeutic challenge. Open surgery and endoscopic management have to be discussed by a multidisciplinary board in order to evaluate the risk and benefit for each patient.

Objective: The objective of this retrospective study was to report the experience of two French centers with transcordal silicone stents (TSS) in the endoscopic management of benign laryngotracheal stenosis (BLTS) in adults, with focus on efficacy, safety, and tolerability. Read More

Int J Pediatr Otorhinolaryngol 2018 May 15;108:46-48. Epub 2018 Feb 15.

Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye & Ear Infirmary, Boston, MA, USA. Electronic address:

Objectives: For pediatric patients with laryngotracheal stenosis, the ultimate goal is creation of a safe, functional airway. Unfortunately, wound healing in a hollow structure can complicate repair attempts, leading to restenosis. Herein, we present our experience using skin-grafting techniques in two complex pediatric laryngotracheal stenosis cases, leading to successful decannulation or speech production. Read More

Acta Anaesthesiol Scand 2018 May 7;62(5):600-607. Epub 2018 Jan 7.

Department of Anesthesia, Sir Run Run Shaw Hospital of Zhejiang University, Hangzhou, China.

Background: Stenting of airway stenosis is a common procedure in specialized centers. The aim of this study was to summarize our clinical experience in ventilation strategy and anesthesia management of patients undergoing urgent tracheal stenting.

Methods: Clinical data of 22 patients with severe tracheal stenosis who underwent urgent endoscopic placement of a tracheal stent during a 2-year period were retrospectively reviewed. Read More

Onco Targets Ther 2017 16;10:4997-5004. Epub 2017 Oct 16.

Department of Oncology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, People's Republic of China.

Background: Tracheal and bronchial stenosis is a life-threatening condition causing difficulty in breathing and even severe respiratory distress. The silicone tracheobronchial stents were placed using the rigid bronchoscopy into the trachea of severe dyspneic patients and they exhibited symptomatic improvement as well as a rise in the saturation of oxygen. The bronchial stents were applicable to many extensive malignant airway stenosis patients, such as those with esophageal cancer, lung cancer, and laryngeal cancer. Read More

Respiration 2017 28;93(6):430-435. Epub 2017 Apr 28.

Department of Thoracic Oncology, Pleural Disease, and Interventional Pulmonology, North Hospital, Marseilles, France.

Background: The use of self-expandable metallic stents (SEMS) in benign airway disease was the object of a boxed warning from the United States Food and Drug Administration in 2005 due to the risk of stent-related complications and difficulties associated with their removal. Third-generation fully covered SEMS have been commercialized since this warning and theoretically should not present the same difficulties associated with removal as they cannot become embedded in the airway mucosa.

Objectives: We aimed to examine the safety and efficacy of a specific third-generation SEMS, the Silmet stent. Read More

Ann Thorac Surg 2017 May 18;103(5):1631-1640. Epub 2017 Jan 18.

Sorbonne Paris Cité, Paris Diderot University, Laboratory of Bio-engineering and Osteo-Articular Biomaterial B20A, Paris, France.

Background: Airway transplantation remains a major challenge in thoracic surgery. Based on our previous laboratory work, we developed the techniques required to bioengineer a tracheal substitute in vivo using cryopreserved aortic allografts as biological matrices (Replacement of the Airways and/or the Pulmonary Vessels Using a Cryopreserved Arterial Allograft [TRACHEOBRONCART] Study, NCT01331863). We present here 2 patients who had a definitive tracheostomy for complex laryngotracheal stenoses refractory to conventional therapy. Read More

Clin Otolaryngol 2018 04 8;43(2):770-771. Epub 2017 Jan 8.

Department of Otolaryngology, Royal Surrey County Hospital, Guildford, UK.

Curr Opin Otolaryngol Head Neck Surg 2016 Dec;24(6):516-521

Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery Medical University of South Carolina, Charleston, South Carolina, USA.

Purpose Of Review: To discuss current modalities of endoscopic airway management beyond balloon dilation therapy.

Recent Findings: Advances continue to be made through technology and bioengineering with exciting potential in the pediatric airway. Smaller robots and instrumentation allow increased endoscopic surgical success. Read More

J Thorac Cardiovasc Surg 2016 10 12;152(4):1008-17. Epub 2016 Aug 12.

Department of Thoracic Surgery, Medical University, Vienna, Austria.

Objectives: Repair of laryngotracheal stenosis with pronounced side-to-side narrowing and involvement of the glottis is challenging and usually requires laryngotracheal reconstruction with rib cartilage interpositions. This technique, as first described by Couraud, needs prolonged postoperative stabilization with Montgomery T-tubes, imposing significant morbidity and discomfort on patients. We describe our initial experience with a modified laryngotracheal reconstruction technique that avoids the need for prolonged postoperative stenting. Read More

Acta Radiol 2017 Apr 20;58(4):430-434. Epub 2016 Jul 20.

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, PR China.

Background For patients having a severe larynx or tracheal stenosis, emergency endotracheal intubation (EEI) may be needed due to respiratory failure. Purpose To evaluate the feasibility and effectiveness of awake EEI using a fluoroscopy-guided sheath-assisted technique for adult patients having a malignant tracheal stenosis. Material and Methods From October 2009 to May 2015, 219 patients having a malignant tracheal stenosis causing dyspnea or asphyxia required EEI. Read More

Iran J Otorhinolaryngol 2016 Mar;28(85):159-62

General Practitioners, Research Assistant, Iran University of Medical Sciences and Health Services, Tehran, Iran.

Introduction: Laryngotracheal stenosis can be caused after traumatic injuries to the neck from the subglottic larynx to the trachea. Patients with laryngotracheal stenosis often need a tracheotomy and occasionally may become tracheotomy dependent. Different procedures have been described for the management of these lesions. Read More

Braz J Anesthesiol 2016 Mar-Apr;66(2):215-8. Epub 2014 Feb 20.

Department of Pulmonology and Medicine, Baylor College of Medicine, Houston, United States.

The anesthetic management of patients with large mediastinal masses can be complicated due to the pressure effects of the mass on the airway or major vessels. We present the successful anesthetic management of a 64-year-old female with a large mediastinal mass that encroached on the great vessels and compressed the trachea. A tracheal stent was placed to relieve the tracheal compression under general anesthesia. Read More

Eur J Cardiothorac Surg 2016 Jul 19;50(1):105-9. Epub 2016 Jan 19.

Department of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University, Rome, Italy Lorillard Spencer Cenci Foundation, Rome, Italy.

Objectives: Long-term results of patients undergoing laryngotracheal resection for benign stenosis are reported. This is the largest series ever published.

Methods: Between 1991 and March 2015, 109 consecutive patients (64 males, 45 females; mean age 39 ± 10. Read More

Ann Thorac Surg 2015 Nov 18;100(5):1804-11. Epub 2015 Aug 18.

Massachusetts General Hospital, Boston, Massachusetts. Electronic address:

Background: Idiopathic subglottic stenosis is a rare inflammatory condition affecting the subglottic larynx. We have treated 263 patients (only 2 were male) with this condition. The purpose of this study is to determine factors affecting outcome and predisposing to complications. Read More

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2015 Jan;29(2):117-20

Objective: To investigate the feasibility of utilizing pedicled sternocleidomastoid clavicular periosteocutaneous flap to reconstruct the laryngotracheal defect after tumor resection.

Method: To review 6 cases of laryngotracheal defect resulting from resction of thyroid papillary carcinoma(4/6) or subglottic laryngeal carcinoma (2/6) (T1~2N1~2M0 , UICC,2002), laryngotracheal stenting was also employed in all cases. Half a year after surgery, the stoma was sutured if no local recurrence took place and safety was proved after tracheal tube had been obstructed for days. Read More

Laryngoscope 2015 Jun 3;125(6):E210-5. Epub 2015 Feb 3.

Department of Otolaryngology-Head and Neck Surgery, National Defense Medical College, Tokorozawa, Saitama, Japan.

Objectives/hypothesis: Acquired laryngotracheal stenosis is a challenging problem for otolaryngologists. Several studies suggest tacrolimus may inhibit post-transplant airway stenosis that occurs with coronary drug-eluting stents. The objective of the present study was to determine whether tacrolimus modulates wound healing of the airway mucosa and prevents laryngotracheal stenosis in an acute injury animal model. Read More

JAMA Otolaryngol Head Neck Surg 2015 Mar;141(3):211-8

Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, Los Angeles.

Importance: This study reviews a single center's experience of performing staged laryngotracheoplasty (LTP) for the treatment of laryngotracheal stenosis with the ultimate goal of attaining long-term airway patency without restenosis.

Objective: To identify staged LTP as an efficacious surgical treatment option for laryngotracheal stenosis.

Design, Setting, And Participants: From January 2000 to January 2012, patients at a tertiary care academic institution presenting with diagnoses of laryngeal or laryngotracheal stenosis were retrospectively identified. Read More

Eur Arch Otorhinolaryngol 2015 Mar 18;272(3):661-72. Epub 2014 Nov 18.

Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital, Oberer Eselsberg 40, 89081, Ulm, Germany,

In the past 30 years, the use of voice prostheses has become the gold standard for voice rehabilitation after total laryngectomy. The placement of a voice prosthesis is a simple procedure that is associated with only a minor increase in operating time and a low rate of complications. Most problems with voice prostheses are minor and can be easily managed. Read More

Vestn Otorinolaringol 2014 (4):7-12

The objective of the present work was the microbiological analysis of laryngeal and tracheal mucosal swabs as well as the study of the contents of the tracheostomy tubes taken from the patients presenting with laryngeal and tracheal stenosis of different etiology. Both the in- and outpatients with different duration of the cannula-bearing period were involved. Special attention was given to the influence of the tracheal stents and the frequency of their cleaning on the microbiocenoses of the larynx and trachea. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2014 Aug;49(8):675-9

Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China.

Objective: To investigate the efficacy of suspension laryngoscopic surgery for benign laryngotracheal stenosis (LTS).

Methods: Thirty-two patients (aged from 5 to 70 years with a median of 36 years) with benign LTS were studied retrospectively who were treated by suspension laryngoscopic surgery with or without assistance of CO₂ Laser for LTS. Stents were placed in 17 cases. Read More

Int J Pediatr Otorhinolaryngol 2014 Sep 19;78(9):1548-50. Epub 2014 Jun 19.

Department of Otolaryngology - Head and Neck Surgery, Royal Hospital for Sick Children, Glasgow G3 8SJ, Scotland, United Kingdom. Electronic address:

Aim: Children with Cornelia de Lange syndrome frequently present to otolaryngology services with hearing problems. Airway problems have not previously been reported. We wish to describe our experience of the overall management in a series of children with Cornelia de Lange syndrome. Read More

Eur Arch Otorhinolaryngol 2014 Nov 29;271(11):2991-5. Epub 2014 Apr 29.

Otolaryngology Head and Neck Surgery Department, King Abdulaziz University, Jeddah, Saudi Arabia,

The aim of this study was to evaluate the post-operative complications of using balloon-expandable metallic stents in treatment of benign, major subglottic and tracheal stenosis in adult patients whom conventional therapy has failed and to demonstrate how to deal with these complications in the long run. A retrospective review of five cases; adlut patiets with benign, major subglottic and upper tracheal stenosis whom were treated with balloon expandable metallic stents at King Abdulaziz University Hospital, in the years between 2008 and 2013. Granulation tissue formed in five of the four cases and restenosis occurred. Read More

Indian J Otolaryngol Head Neck Surg 2014 Jan 15;66(1):51-6. Epub 2013 Jun 15.

Department of Otolaryngology & Head and Neck Surgery, Army Hospital Research and Referral, Delhi Cantt, New Delhi, 110010 India.

Tracheal stenosis (TS), a challenging problem, is a known complication of prolonged intubation and tracheostomy. The management involves a multidisciplinary approach with multiple complex procedures. In this study we discuss our experience with severe TS with regards to patient characteristics, cause and management. Read More

Gan To Kagaku Ryoho 2013 Nov;40(12):2112-4

Dept. of Surgical Oncology, Osaka City University Graduate School of Medicine.

The patient was a 68-year-old man who complained of hoarseness and dyspnea. Upper gastrointestinal endoscopy revealed a type 3 tumor located in the middle thoracic esophagus at 30 cm from the incisor tooth that involved one-fourth of the circumference of the esophagus. Histopathological examination revealed moderately differentiated squamous cell carcinoma. Read More

Thorac Surg Clin 2014 Feb;24(1):59-65

Thoracic Surgery, Lung Clinic, Hospital of Cologne, University of Witten/Herdecke, Ostmerheimer str. 200, Cologne 51109, Germany.

Benign stenosis of trachea results mainly from tracheotomy, ventilation, or trauma. The combination of a defect of the mucosa or the tracheal wall and infection produce secondary scar tissue healing with shrinkage of the tracheal lumen or instability of the tracheal wall. Standard of treatment consists of resection of the pathologic segment of the trachea with end-to-end anastomosis. Read More

Auris Nasus Larynx 2014 Apr 27;41(2):195-200. Epub 2013 Oct 27.

Resident in Otorhinolaryngology, Sri Ramachandra Medical College & Research Institute, Porur, Chennai 600116, India. Electronic address:

Objective: To identify the indications, complications and outcome of patients of LTS managed with Montgomery T-tube stenting and review the current literature about the role of stenting in LTS.

Methods: Retrospective chart reviews of 39 patients of laryngotracheal stenosis managed by T-tube stenting for temporary or definitive treatment during the period 2004-2011 were considered. The data on indications for stenting, type of stent, problems/complications of stenting, duration of stenting, additional intervention and outcome of management were collected, tabulated and analyzed. Read More

Case Rep Med 2013 18;2013:950437. Epub 2013 Aug 18.

Department of Anaesthesia, Beaumont Hospital, Dublin 9, Ireland.

An approach which promotes a rapid return to spontaneous respiration after tracheobronchial stent (TBS) insertion is considered the optimal one and is a belief shared by anaesthetists, respiratory physicians, and surgeons alike (Calvey and William (2008)). The value of the laryngeal mask airway (LMA), followed by use of the Monsoon 111 Acutronic jet ventilator pressure limiting system of ventilation, for the deployment of stents in the three individual cases that of tracheoesophageal fistula, a bronchoesophageal fistula, and tracheal compression from an invading oesophageal malignant tumour are reported. The roles of target controlled anaesthesia, high-frequency jet ventilation (HFJV), and the laryngeal mask airway in optimising the surgical field and reducing the risk of bronchospasm at emergence are advantages of this technique. Read More

J Pediatr Surg 2013 Aug;48(8):1676-81

Department of Otolaryngology-Head and Neck Surgery, Ochsner Clinic Foundation, New Orleans, LA 70121, USA.

Background/purpose: Children and adolescents with airway stenosis pose a clinical challenge. Recently, balloon dilation has been described, primarily for the treatment of early, immature, less severe airway stenosis. We describe our experience with 8 children and adolescents managed with balloon dilation, including severe, mature subglottic and tracheal stenosis. Read More

Eur Arch Otorhinolaryngol 2014 Feb 2;271(2):317-22. Epub 2013 Jul 2.

Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shanxi, 710038, People's Republic of China.

To study the effectiveness of laryngotracheal reconstruction with rib cartilage graft for complex laryngotracheal stenosis and/or anterior neck defect, 62 patients with complex laryngotracheal stenosis and/or anterior neck defect underwent laryngotracheal reconstruction with autogenous rib cartilage graft. The surgical procedures were laryngotracheotomy with rib cartilage graft interposition and silicon-tube stent placed in the region of laryngotracheal stenosis and/or anterior neck defect for the period of between 10 days and 12 months. Three patients with complex subglottic stenosis and anterior neck defects underwent a single-stage reconstruction with a combined rib cartilage graft interposition and fasciocutaneous flap reparation. Read More

Ann Otol Rhinol Laryngol 2013 May;122(5):330-4

Department of Otolaryngology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York 10467, USA.

Objectives: We report the frequency and success rates of adjunctive airway procedures after pediatric single-stage laryngotracheoplasty (LTP) and review different adjunctive techniques in a prospectively enrolled and retrospectively reviewed case series.

Methods: Of 31 LTP procedures performed from 2008 to 2011 at an academic tertiary care children's hospital, 10 were single-stage LTP procedures. These 10 cases were analyzed to determine the number and type, if any, of adjunctive procedures required after LTP, as well as the subglottic response and decannulation rates. Read More

Ann Otol Rhinol Laryngol 2013 May;122(5):322-9

Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan 48201, USA.

Objectives: We examined a retrospective case series to evaluate the utility of two-stage laryngotracheal reconstruction (LTR) in the management of subglottic stenosis (SGS) in adults. Operative correction of SGS with LTR has been practiced successfully in the pediatric population. However, in the adult population, cricotracheal resection has been a more common alternative. Read More

Laryngoscope 2014 Jan 13;124(1):207-13. Epub 2013 May 13.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's National Medical Center, Washington, DC, U.S.A.

Objectives/hypothesis: Studies comparing the relative effectiveness of suprastomal stents in laryngotracheoplasty surgery are lacking in the literature. The goal of this study was to compare the performance of two widely used short-term suprastomal stents in open airway surgery.

Study Design: Prospective, randomized study of a single surgeon's outcomes for grade III subglottic stenosis (SGS) in children. Read More

Am J Otolaryngol 2013 Sep-Oct;34(5):606-7. Epub 2013 Apr 1.

LSU Health Sciences Center, Shreveport, LA, USA.

Objectives: 1-Recognize difficulties and review techniques in long-segment laryngotracheal stenosis repair. 2-Contribute to increasing clinical and surgical skills in pediatric airway reconstruction through reporting our experience with a novel reconstruction technique involving use of a failed anterior graft and prolonged postoperative stenting.

Methods:

Case Report: 10 year old male with history of burn injury who required a tracheostomy due to prolonged intubation/inhalational injury in 2005. Read More

Vestn Otorinolaringol 2013 (1):64-7

The objective of the present study was to analyse the causes behind formation of combined laryngothracheal stenoses and the factors contributing to their development. The secondary objective was to determine the main classification characteristics of cicatrical stenoses of the larynx and trachea, and to estimate the effectiveness of their treatment by a combined reconstructive surgical technique. Analysis of outcomes of the surgical treatment of 19 patients with combined cicatrical stenoses of the larynx and trachea of different etiology for the period from 2005 to 2011 is presented. Read More

Arch Bronconeumol 2013 Jul 13;49(7):314-5. Epub 2013 Mar 13.

Int J Pediatr Otorhinolaryngol 2013 May 13;77(5):857-62. Epub 2013 Mar 13.

Unfallkrankenhaus Berlin, Department of Otolaryngology at UKB, Charité Medical School, Berlin, Germany.

Laryngotracheal stents may damage the highly complex laryngeal structures, impair voice and swallowing functions and cause tissue ingrowths, thereby necessitating airway patency interventions. In benign airway disease, the number of adolescents with laryngotracheal stents is therefore limited. We present two cases of laryngeal metallic stent placement following benign airway disease. Read More

J Clin Sleep Med 2013 Feb 1;9(2):163-4. Epub 2013 Feb 1.

Pediatric Respiratory and Sleep Medicine, Children's Hospital at Montefiore, Bronx, NY 10467, USA.

We report obstructive sleep apnea in a 3-year-old boy with tracheomalacia secondary to tracheotomy that resolved after placement of a metallic stent in the region of tracheomalacia. The tracheal location of obstruction during sleep in this case contrasts with the usual location in the pharynx or, less often, the larynx. This case also demonstrates the utility of polysomnography in managing decannulation of tracheostomies. Read More

Otolaryngol Head Neck Surg 2013 Apr 15;148(4):671-7. Epub 2013 Jan 15.

Department of Otorhinolaryngology, Montefiore Medical Center, Bronx, New York 10467, USA.

Objective: To reflect on lessons learned placing endotracheal nitinol stents in children.

Study Design: Case series with chart review.

Setting: Tertiary care children's hospital. Read More

J Thorac Dis 2012 Nov;4 Suppl 1:32-40

Cardiothoracic Department, St Luke's Hospital, Panorama, Thessaloniki, Greece;

Tracheal stenosis is a potentially life-threatening condition. Tracheostomy and endotracheal intubation remain the commonest causes of benign stenosis, despite improvements in design and management of tubes. Post-tracheostomy stenosis is more frequently encountered due to earlier performance of tracheostomy in the intensive care units, while the incidence of post-intubation stenosis has decreased with application of high-volume, low-pressure cuffs. Read More

Eur Arch Otorhinolaryngol 2012 Dec 22;269(12):2531-8. Epub 2012 Jun 22.

Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital CHUV, Lausanne, Switzerland.

The purpose of this study was to assess the safety and efficacy of stenting in upper airway reconstructions for benign laryngotracheal stenosis (LTS) with a newly designed prosthesis, the LT-Mold™. The LT-Mold and its proper use during open surgery and endoscopy are described, and the experience gathered from a prospectively collected database on 65 patients treated for complex LTS or severe aspiration is reported. This series is compared to the results of other stenting methods. Read More

Saudi J Gastroenterol 2012 Jan-Feb;18(1):62-7

Department of Gastroenterology and Hepatology, Head and Neck Surgery, the University of Alabama in Birmingham, AL, USA.

Placement of removable stents to close pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy has not been reported before. This case presents the feasibility of removable esophageal stent in closing pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy for laryngeal cancer. Consecutive patients who underwent placement of removable esophageal stent for closing pharyngo-cutaneous and tracheo-pharyngeal fistulas after laryngectomy for laryngeal cancer. Read More

Gan To Kagaku Ryoho 2011 Nov;38(12):2417-9

Dept. of Surgery, Tokyo Women's Medical University Medical Center East.

We herein report three cases of the malignant esophageal stenosis successfully treated with the Niti-S™ esophageal stent. CASE 1: The hilar lung cancer and its mediastinal lymph node metastasis pressed the esophagus extramurally and caused the marked stenosis. CASE 2: A metastatic lymph node along the left laryngeal nerve caused the stenosis of the trachea. Read More