A novel stent for treatment of combined anterior glottic web-subglottic stenosis.
Severe congenital glottic webs are often associated with subglottic stenosis. We treated two young children with combined anterior glottic web-subglottic stenosis with partial laryngofissure and anterior costal cartilage graft placement. We used a novel stent composed of silicone rubber, created from the external limb of a Hood (Pembroke, WA) tracheal T-tube. This stent served as both a subglottic stent and a glottic keel. These two children achieved decannulation with improved vocal quality.
Tunkel
David E
DE
Division of Pediatric Otolaryngology, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Johns Hopkins Outpatient Center, Room 6231, 601 North Caroline Street, Baltimore, MD 21287-0910, USA. dtunkel@jhmi.edu
D004867:Equipment Design; D005931:Glottis / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D007829:Laryngostenosis / Q000601:surgery*; D008297:Male; D015607:Stents