Related Experiment Video

Updated: May 14, 2026

Design of a Biocompatible Drug-Eluting Tracheal Stent in Mice with Laryngotracheal Stenosis
08:26

Design of a Biocompatible Drug-Eluting Tracheal Stent in Mice with Laryngotracheal Stenosis

Published on: January 21, 2020

Long-term outcomes of congenital tracheal stenosis treated by metallic airway stenting

Kosaku Maeda1, Shigeru Ono, Yuko Tazuke

  • 1Department of Surgery, Division of Pediatric Surgery, Jichi Medical University School of Medicine, Tochigi 329-0498, Japan. maedak@jichi.ac.jp

Journal of Pediatric Surgery
|February 19, 2013
PubMed

Insights

Expandable metallic airway stents effectively relieve congenital tracheal stenosis in infants, with long-term success and manageable complications. Stent removal is safely achieved through surgical intervention when necessary.

Area of Science:

  • Pediatric Surgery
  • Respiratory Medicine
  • Biomaterials Engineering

Background:

  • Congenital tracheal stenosis is a critical condition requiring immediate intervention.
  • Expandable metallic airway stents offer a potential solution for airway obstruction.

Observation:

  • Five infants with congenital tracheal stenosis received metallic airway stents between 1997 and 2000.
  • Immediate respiratory improvement was observed in all patients, with four weaned from ventilation.

Findings:

  • Metallic stents remained in place for a mean of 12 years, with four children alive and well.
  • Granulation tissue formation was a common complication, managed conservatively or via balloon compression.
  • Stent removal was successfully performed in two patients using cardiopulmonary bypass and tracheoplasty.

Implications:

  • Expandable metallic airway stents are a viable long-term treatment for congenital tracheal stenosis.
  • Granulation tissue management is crucial for successful stenting.
  • Surgical stent removal is feasible for selected cases requiring airway reconstruction.
Abstract

More Related Videos

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...