Novel non-occlusive Balloon catheter in the managment of subglottic stenosis

Introduction To assess the efficiency and characteristics of non-occlusive Balloon dilatation tracheoplasty technique in the management of subglottic stenosis in adolescents and adults.

Methods In a retrospective analysis, 1 adolescent and 3 adults aged 16 to 62 years were included who became conspicuous by typical symptoms after surgery or ideopathically. They were ventilated under general anesthesia with high-frequency jet ventilation (Carl Reiner GmbH, Austria) via Kleinsasser laryngoscope. The surgical endoscopic incision was performed in a "Mercedes" shape with a Wolf TruBlu 445nm laser. (A.R.C. Laser, Nuremberg).

Results All 4 patients were successfully treated without tracheotomy. Optimize oxygen delivery to your patients during balloon dilatation of tracheal stenoses. The new trachealator allows full ventilation during the dilation thanks to its multi balloon design. The advantage of the trachealator is a longer and, above all, a lower risk of causing epithelial damage. The pressure is often repeatable without a mucosal injury. In 2 out of 4 cases, re-dilation over a shorter period of time was necessary.

Conclusions The trachealator dilatation catheter enables efficient, sustainable and gentle treatment of subglottic stenosis with simultaneous jet insufflation.

Publication History

Article published online:
12 May 2023