0
September 1990, Vol 116, No. 9 >
ARTICLE | September 1990

Treatment of Severe Bronchomalacia With Expanding Endobronchial Stents FREE

Capt Eric A. Mair, MC, USAFCol ; David S. Parsons, MC, USAFMaj ; Kevin P. Lally, MC, USAF
[+] Author Affiliations

Accepted for publication March 20, 1990.

Presented at the meeting of the American Society of Pediatric Otolaryngology, San Diego, Calif, May 1989.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the US Air Force or the Department of Defense.

Reprint requests to the Department of Otolaryngology—Head Neck Surgery, Wilford Hall, US Air Force Medical Center, Lackland Air Force Base, TX 78236-5300 (Dr Mair).


Arch Otolaryngol Head Neck Surg. 1990;116(9):1087-1090. doi:10.1001/archotol.1990.01870090103019
Text Size: A A A
Published online
Article
References
Comments

• Respiratory compromise from tracheobronchomalacia in children varies from mild to severe, but can result in either reflex apnea or death. Such severe cases may be unresponsive to aggressive medical management, and surgical options must be considered. Current surgical alternatives are limited and are associated with many potentially undesirable complications. Failure rates are often high. We present two infants with profound lifethreatening airway malacia treated by endoscopic placement of a self-expanding endobronchial stent. A description of their anomaly, surgical management, and long-term care is included. The expandable stent may obviate the need for complex high-risk surgical procedures and prolonged ventilatory support.

(Arch Otolaryngol Head Neck Surg. 1990;116:1087-1090)

REFERENCES

1 +
Greenholz SK, Karrer FM, Lally JR.  Contemporary surgery of tracheomalacia . J Pediatr Surg. 1986;;21:511-514.
2 +
Blair GK, Cohen R, Filler RM.  Treatment of tracheomalacia: eight years' experience . J Pediatr Surg. 1986;;21:781-785.
3 +
Fearon B, Shortreed R.  Tracheo-bronchial compression by congenital cardiovascular anomalies in children: syndrome of apnea . Ann Otol. 1963;;72:949-969.
4 +
Wailoo MP, Emery JL.  The trachea in children with tracheoesophageal fistula . Histopathology . 1979;;3:329-338.
5 +
Benjamin B.  Tracheomalacia in infants and children . Ann Otol Rhinol Laryngol. 1984;;93:438-442.
6 +
Neijens HJ, Kerrebijn KF, Smalhout B.  Successful treatment with CPAP of two infants with bronchomalacia . Acta Paediatr Scand . 1978;;67: 293-296.
7 +
Page BA, Klein EF.  Tracheal stent as an aid in weaning from mechanical ventilation in tracheomalacia . Anesthesiology . 1977;;47:300-301.
8 +
Shapiro RS, Martin WM.  Long custom-made plastic tracheostomy tube in severe tracheomalacia . Laryngology. 1981;;91:355-362.
9 +
Schwartz MZ, Filler RM.  Tracheal compression as a cause of apnea following repair of tracheoesophageal fistula: treatment by aortopexy . J Pediatr Surg. 1980;;15:842-848.
10 +
Cohen D.  Tracheopexy-aorto-tracheal suspension for severe tracheomalacia . Aust Pediatr J. 1981;;17:117-121.
11 +
Johnston MR, Loeber N, Hillyer P, Stephenson LW, Edmunds LH Jr.  External stent for repair of secondary tracheomalacia . Ann Thorac Surg. 1980;;30:291-296.
12 +
Vinograd I, Filler RM, Bahoric A.  Long-term functional results of prosthetic airway splinting in tracheomalacia and bronchomalacia . J Pediatr Surg. 1987;;22:38-41.
13 +
Murphy JP, Filler RM, Muraji T.  Effect of prosthetic airway splint on the growing trachea . J Pediatr Surg. 1983;;18:872-878.
14 +
Meyer R.  New concepts in laryngotracheal reconstruction . Trans Am Acad Ophthalmol Otolaryngol . 1972;;76:758-765.
15 +
Gupta TGCM, Goldberg SJ, Lewis E, Fonkalsrud EW.  Congenital bronchomalacia . AJDC . 1968;;115:88-90.
16 +
Wright KC, Wallace S, Charnsangavej C, Carrasco CH, Gianturco C.  Percutaneous endovascular stents: an experimental evaluation . Radiology . 1985;;156:69-72.
17 +
Wallace MJ, Charnsangavej C, Ogawak K, et al.  Tracheobronchial tree: expandable metallic stents used in experimental and clinical applications . Radiology . 1986;;158:309-312.
18 +
Eisenbud D, Parsonnet V, Wiktor D, Ferra-Ryan M, Villanueva A.  A polyester intravascular stent for maintaining luminal patency . Tex Heart Ins J. 1988;;15:12-16.
19 +
Mair EA, Parsons DS, Lally KP.  Endotracheal stents for treatment of induced piglet tracheomalacia . Am Coll Surgeons Surg Forum . 1989;;40:569-571.
20 +
Bottema JR, Feijen J, ten Hoopen HWM, Molenaar I, Wildevuur CR.  Microporous tracheal prosthesis: incorporation and prevention of infection . Trans Am Soc Artif Intern Organs . 1980;; 26:412-417.

First Page Preview

First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Greenholz SK, Karrer FM, Lally JR.  Contemporary surgery of tracheomalacia . J Pediatr Surg. 1986;;21:511-514.
2 +
Blair GK, Cohen R, Filler RM.  Treatment of tracheomalacia: eight years' experience . J Pediatr Surg. 1986;;21:781-785.
3 +
Fearon B, Shortreed R.  Tracheo-bronchial compression by congenital cardiovascular anomalies in children: syndrome of apnea . Ann Otol. 1963;;72:949-969.
4 +
Wailoo MP, Emery JL.  The trachea in children with tracheoesophageal fistula . Histopathology . 1979;;3:329-338.
5 +
Benjamin B.  Tracheomalacia in infants and children . Ann Otol Rhinol Laryngol. 1984;;93:438-442.
6 +
Neijens HJ, Kerrebijn KF, Smalhout B.  Successful treatment with CPAP of two infants with bronchomalacia . Acta Paediatr Scand . 1978;;67: 293-296.
7 +
Page BA, Klein EF.  Tracheal stent as an aid in weaning from mechanical ventilation in tracheomalacia . Anesthesiology . 1977;;47:300-301.
8 +
Shapiro RS, Martin WM.  Long custom-made plastic tracheostomy tube in severe tracheomalacia . Laryngology. 1981;;91:355-362.
9 +
Schwartz MZ, Filler RM.  Tracheal compression as a cause of apnea following repair of tracheoesophageal fistula: treatment by aortopexy . J Pediatr Surg. 1980;;15:842-848.
10 +
Cohen D.  Tracheopexy-aorto-tracheal suspension for severe tracheomalacia . Aust Pediatr J. 1981;;17:117-121.
11 +
Johnston MR, Loeber N, Hillyer P, Stephenson LW, Edmunds LH Jr.  External stent for repair of secondary tracheomalacia . Ann Thorac Surg. 1980;;30:291-296.
12 +
Vinograd I, Filler RM, Bahoric A.  Long-term functional results of prosthetic airway splinting in tracheomalacia and bronchomalacia . J Pediatr Surg. 1987;;22:38-41.
13 +
Murphy JP, Filler RM, Muraji T.  Effect of prosthetic airway splint on the growing trachea . J Pediatr Surg. 1983;;18:872-878.
14 +
Meyer R.  New concepts in laryngotracheal reconstruction . Trans Am Acad Ophthalmol Otolaryngol . 1972;;76:758-765.
15 +
Gupta TGCM, Goldberg SJ, Lewis E, Fonkalsrud EW.  Congenital bronchomalacia . AJDC . 1968;;115:88-90.
16 +
Wright KC, Wallace S, Charnsangavej C, Carrasco CH, Gianturco C.  Percutaneous endovascular stents: an experimental evaluation . Radiology . 1985;;156:69-72.
17 +
Wallace MJ, Charnsangavej C, Ogawak K, et al.  Tracheobronchial tree: expandable metallic stents used in experimental and clinical applications . Radiology . 1986;;158:309-312.
18 +
Eisenbud D, Parsonnet V, Wiktor D, Ferra-Ryan M, Villanueva A.  A polyester intravascular stent for maintaining luminal patency . Tex Heart Ins J. 1988;;15:12-16.
19 +
Mair EA, Parsons DS, Lally KP.  Endotracheal stents for treatment of induced piglet tracheomalacia . Am Coll Surgeons Surg Forum . 1989;;40:569-571.
20 +
Bottema JR, Feijen J, ten Hoopen HWM, Molenaar I, Wildevuur CR.  Microporous tracheal prosthesis: incorporation and prevention of infection . Trans Am Soc Artif Intern Organs . 1980;; 26:412-417.

Correspondence

Submit a Letter
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2012 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems