Related Experiment Video

Updated: May 5, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
06:13

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

17.3K

A Review of Indications and Technical Considerations of Endoscopic Balloon Dilation for Pediatric Subglottic Stenosis

Juma Obayashi1, Manabu Komori2, Yuri Nishiya1

  • 1Department of Pediatric Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, Kanagawa, Japan.

Journal of Clinical Medicine
|May 4, 2026
PubMed

Insights

Pediatric subglottic stenosis (SGS) can be treated with endoscopic balloon dilation, a less invasive option for early-stage cases. While effective, careful patient selection and follow-up are crucial to manage recurrence risks.

Area of Science:

  • Pediatric Otolaryngology
  • Airway Surgery
  • Minimally Invasive Procedures

Background:

  • Pediatric subglottic stenosis (SGS) is a common cause of upper airway obstruction in children, often due to prolonged intubation.
  • Severe SGS typically requires invasive open airway reconstruction (e.g., LTR, PCTR).
  • There is growing interest in less invasive treatments for pediatric SGS.

Purpose of the Study:

  • To review the pathophysiology, clinical presentation, and assessment of pediatric SGS.
  • To discuss the evolution of surgical management, focusing on endoscopic balloon dilation.
  • To outline the technical aspects and patient selection criteria for balloon dilation.

Main Methods:

  • Narrative literature review.
  • Analysis of clinical experience with endoscopic balloon dilation for pediatric SGS.
  • Discussion of technical elements like balloon sizing, radial incisions, and pharmacologic adjuncts.

Main Results:

  • Endoscopic balloon dilation is effective for early-stage, short-segment, and soft acquired pediatric SGS.
  • This technique can reduce the need for open airway reconstruction in selected patients.
  • Recurrence of stenosis is a significant limitation, requiring careful patient selection and monitoring.

Conclusions:

  • Endoscopic balloon dilation offers a valuable, less invasive option for managing select pediatric subglottic stenosis.
  • Optimal outcomes depend on precise patient selection, technical execution, and diligent long-term follow-up.
  • Further research may refine indications and improve management strategies to minimize recurrence.

Keywords:
balloon dilationballoon sizeendoscopyinflation pressurepediatricssubglottic stenosistechnical procedure

More Related Videos

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis05:17

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

1.7K
Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K

Related Concept Videos

Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
1.1K
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
2.4K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
1.1K
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
958
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...
535