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Tracheobronchial stenting for airway malacia
Colin Wallis1, Clare A McLaren2
1Department of Respiratory Paediatrics, Great Ormond Street Hospital for Children, London, UK.
Paediatric Respiratory Reviews
|November 28, 2017
Summary
Tracheobronchomalacia, a rare pediatric airway softening, causes varied symptoms. This review explores stenting as a treatment option, particularly bioabsorbable stents, for improving airway malacia in children.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Biomaterials Engineering
Background:
- Tracheobronchomalacia involves softening of major pediatric airways, leading to symptoms from cough to respiratory failure.
- Causes include intrinsic airway wall defects or secondary compression, persisting even after external cause relief.
Purpose of the Study:
- To review available stenting options for pediatric tracheobronchomalacia.
- To discuss the advantages and disadvantages of stenting, including newer bioabsorbable techniques.
Main Methods:
- Literature review of stenting techniques for pediatric airway malacia.
- Analysis of pros and cons of current and emerging stent technologies.
Main Results:
- Stenting, especially with bioabsorbable materials, is a developing therapeutic avenue.
- It offers a potential solution to provide time for natural airway improvement.
Conclusions:
- Stenting presents a promising, less invasive option for managing severe pediatric tracheobronchomalacia.
- Further research into bioabsorbable stents may enhance treatment efficacy and patient outcomes.
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