[Balloon dilatation of tracheobronchial stenoses in children. Apropos of 4 cases].
Long-lasting tracheal tubing in newborns and infants, associated with repeated tracheobronchial aspiration, is sometimes complicated by tracheal and/or bronchial stenoses. Many therapeutic methods have been described to treat this condition: use of dilatators, laser, surgery, insertion of prosthetic material. Dilatation with an angioplasty balloon has been recently described for the treatment of various stenoses. The authors report about 3 cases of acquired tracheobronchial stenosis which were successfully treated with this method, and 1 case of complex tracheal stenosis (with a double inflammatory and congenital nature) which required both dilatation and surgery. The technique is described. There is no morbidity and no mortality in this non-randomized series. Balloon dilatation is a simple and effective method, which may be proposed as a first-intention treatment for acquired tracheobronchial stenosis in newborns and infants.
Polonovski
J M
JM
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Robert Debré, Paris.
Hertz Panier
L
L
Francois
M
M
Garel
C
C
Hassan
M
M
Narcy
P
P
D001982:Bronchial Diseases / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D002404:Catheterization; D003251:Constriction, Pathologic / Q000628:therapy; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery / Q000628:therapy*
Dilatation au ballonnet des sténoses trachéobronchiques du nourrisson. A propos de 4 cas.