Endoscopic treatment of subglottic and tracheal stenosis by radial laser incision and dilation.
Five patients with severe fibrous subglottic and tracheal stenosis were treated by endoscopic radial laser incision and dilation using both carbon dioxide and neodymium:yttrium aluminum garnet lasers. Good results were noted without complications in all patients in a follow-up period of at least 1 year. Careful selection of patients, excluding those with tracheal collapse or tracheomalacia, and preservation of tracheal epithelium with minimal heat and mechanical trauma are considered essential for good results.
Shapshay
S M
SM
Department of Otolaryngology-Head and Neck Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Beamis
J F
JF
Hybels
R L
RL
Bohigian
R K
RK
D000328:Adult; D000368:Aged; D001999:Bronchoscopy; D004106:Dilatation / Q000379:methods; D005260:Female; D006801:Humans; D007828:Laryngoscopy / Q000379:methods; D007829:Laryngostenosis / Q000601:surgery*; D053685:Laser Therapy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000601:surgery*