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Polyflex stenting of tracheomalacia after surgery for congenital tracheal stenosis.

Research paper by James J Tibballs, Stephen S Fasulakis, Colin F CF Robertson, Robert G RG Berkowitz, John J Massie, Christian C Brizard, Elizabeth E Rose, Elhamy E Bekhit, Robert R Eyres, Philip P Ragg

Indexed on: 04 Nov '06Published on: 04 Nov '06Published in: International Journal of Pediatric Otorhinolaryngology



Abstract

Polyflex self-expanding stents (Rüsch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resection and autotracheoplasty. However, in all cases persistent lower tracheal malacia necessitated stenting. Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives.