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Updated: Sep 21, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
[Relapsing polychondritis with laryngotracheal extension: therapeutic approach in one patient]
P Schultz1, M Wiorowski, O Chambres
1Service d'O.R.L. et de chirurgie cervicofaciale, CHU de Hautepierre, avenue Molière, 67098 Strasbourg Cedex.
Objective:
We report the case of a 32-years-old woman suffering from relapsing polychondritis in a laryngeal localization leading to dyspnea due to stenosis or collapse.
Methods:
Incomplete efficiency of medical treatment required endoscopic insertion of a laryngotracheal silicone prosthesis (Trachobronxane ST, Novatech) which avoided tracheotomy and allowed better upper airway patency. Clinical and endoscopic follow-up was continued for several months.
Results:
The prosthesis restored laryngotracheal patency and allowed moderate physical activity. The follow-up endoscopic explorations showed excellent prosthesis tolerance eight months after implantation. No deglutition problems, due to the supraglottic position of the upper extremity of the prosthesis, was noted.
Conclusion:
Silicone prostheses provide an interesting alternative for the management of laryngotracheal collapse or stenosis. Withdrawal can be proposed if the disease processes is controlled.
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