title: Treatment of combined subglottic and critically low tracheal stenoses secondary to burn inhalation injury.
abstract: We report a case of combined severe subglottic and lower tracheobronchial stenoses after an inhalation burn injury. The patient was successfully treated by the insertion of a bifurcated silicone rubber stent. The proximal limb of the silicone tube was used to stent the subglottic stenosis after it had been resected, a treatment option not previously reported. It is speculated that the diffuse airway damage resulted from a combination of thermal injury, mechanical trauma and infection. The relatively late symptomatic presentation of the lower tracheal stricture is stressed and the treatment options discussed.
authors.affiliation: Department of Otolaryngology, St. James's Hospital.
authors.forename: C I
authors.initials: CI
authors.lastname: Timon
authors.forename: D
authors.initials: D
authors.lastname: McShane
authors.forename: E
authors.initials: E
authors.lastname: McGovern
authors.forename: M
authors.initials: M
authors.lastname: Walsh
mesh_terms: D002059:Burns, Inhalation / Q000150:complications*; D005260:Female; D006801:Humans; D007829:Laryngostenosis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D015607:Stents; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*