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Pediatric Surgery International

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01-03-2015 | Original Article

Management of tracheobronchial obstruction in infants using metallic stents: long-term outcome

Authors: Ling Leung, Patrick Ho Yu Chung, Kenneth Kak Yuen Wong, Paul Kwong Hang Tam

Published in: Pediatric Surgery International | Issue 3/2015

Abstract

Introduction

Tracheobronchial obstruction, although uncommon in the pediatric age group, remains a challenging problem. We review the long-term outcome of endoscopic metallic stenting in infants with tracheobronchial obstruction.

Materials and methods

Medical records of all pediatric surgical patients who underwent tracheobronchial metallic stenting in our center were reviewed retrospectively from 1996 to 2014. Patients’ demographic data, including etiology, associated anomalies and nature of obstruction were reviewed. Outcome measures include complications such as re-stenosis, granulation tissue, stent migration, fractured stent, maximal tracheal diameter achieved, weaning of ventilator and growth at interval follow-up.

Results

Twelve balloon-expandable metallic stents were placed in the trachea (n = 10) and/or bronchi (n = 2) of 5 patients with a median age of 13 months (range 5–30 months). Etiology of the airway obstruction included congenital tracheal stenosis (n = 4), giant cervical and superior mediastinal lymphatic malformation with tracheobronchomalacia (n = 1). Seven complications were reported (3 patients developed granulation tissue, 2 patients had re-stenosis, 1 stent migrated, 1 stent fractured). All patients survived and were in good condition with a median follow-up of 16 years (range 11–18 years). Three patients weaned off ventilator and oxygen.

Conclusions

Endoscopic stenting with metallic stent has satisfactory long-term outcome in treating infants with tracheobronchial obstruction.

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Title: Management of tracheobronchial obstruction in infants using metallic stents: long-term outcome
Authors: Ling Leung
Patrick Ho Yu Chung
Kenneth Kak Yuen Wong
Paul Kwong Hang Tam
Publication date: 01-03-2015
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Surgery International / Issue 3/2015
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-015-3666-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of tracheobronchial obstruction in infants using metallic stents: long-term outcome

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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