Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-27T12:43:23.634Z Has data issue: false hasContentIssue false
  • English
  • Français

A customised laryngeal stent for glottic airway reconstruction

Published online by Cambridge University Press:  10 December 2021

A A Joshi ,
S R Agrawal  and
R A Bradoo
A A Joshi
Affiliation:
Department of ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
S R Agrawal*
Affiliation:
Department of ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
R A Bradoo
Affiliation:
Department of ENT, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, India
*
Author for correspondence: Dr S Agrawal, Department of ENT, Room no. 441, 4th floor, College building, Lokmanya Tilak Municipal Medical College & General Hospital, Sion, Mumbai400022, India E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Laryngotracheal reconstructive surgery very often requires placement of laryngeal stents, but most of the available stents either do not conform to the shape of the glottis or are open at the upper end, causing significant tissue reaction and aspiration. LT-Mold is an ideal stent in this respect, but it is not readily available.

Case report

The authors of this study fashioned a laryngeal stent out of a readily available Montgomery T-tube in such a way that it had a closed upper end and was well-conformed to the architecture of the larynx. This stent was used in a case of posterior expansion laryngoplasty, and post-operatively the patient had a patent airway with good voice and no aspiration.

Conclusion

A customised laryngeal stent is well tolerated and helps to solve complicated cases of posterior glottic stenosis.

Keywords

Posterior Glottic StenosisLaryngotracheal SurgeryLaryngeal Stent
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 8 , August 2022 , pp. 772 - 774
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr S Agrawal takes responsibility for the integrity of the content of the paper

References

Ochi, JW, Evans, JN, Bailey, CM. Pediatric airway reconstruction at Great Ormond Street: a ten-year review. I. Laryngotracheoplasty and laryngotracheal reconstruction. Ann Otol Rhinol Laryngol 1992;101:465–810.1177/000348949210100602CrossRefGoogle Scholar
Zalzal, GH. Use of stents in laryngotracheal reconstruction in children: indications, technical considerations, and complications. Laryngoscope 1988;98:849–54CrossRefGoogle ScholarPubMed
Zalzal, GH. Stenting for pediatric laryngotracheal stenosis. Ann Otol Rhinol Laryngol 1992;101:651–5CrossRefGoogle ScholarPubMed