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Advanced/Novel Stenting for Pediatric Dynamic Airway Collapse

Elle Nuttall1, Adam Van Horn2, David Zopf1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA.

Otolaryngologic Clinics of North America
|May 13, 2026
PubMed

Insights

Pediatric dynamic airway collapse affects all airway levels, posing life-threatening risks. Newer, individualized stenting and splinting strategies offer alternatives to traditional tracheostomy for treating this complex condition.

Area of Science:

  • Pediatric Pulmonology
  • Otolaryngology
  • Thoracic Surgery

Background:

  • Pediatric dynamic airway collapse is a serious condition affecting all airway levels.
  • It can lead to life-threatening complications and long-term health issues in children.
  • Traditional treatment often involves tracheostomy, which may not be ideal for all cases.

Purpose of the Study:

  • To review the pathophysiology of pediatric dynamic airway collapse.
  • To present the latest evidence on advanced treatment strategies.
  • To discuss anatomy-specific approaches for various airway levels.

Main Methods:

  • Literature review of pathophysiology and treatment strategies.
  • Analysis of recent evidence on stenting and splinting techniques.
  • Categorization of dynamic collapse by anatomical location (nasopharynx, oropharynx, proximal trachea, tracheobronchial).

Main Results:

  • Dynamic airway collapse can occur at multiple pediatric airway levels.
  • Advances enable individualized, anatomy-specific stenting and splinting.
  • These newer methods offer alternatives to tracheostomy for specific collapse types.

Conclusions:

  • Pediatric dynamic airway collapse requires tailored treatment based on location and severity.
  • Individualized stenting and splinting represent significant advancements.
  • These strategies improve management options beyond traditional tracheostomy.

Keywords:
Airway stentsBioresorbable platingDynamic airway collapseExternal splintingNasopharyngeal airwayRobin sequenceTracheobronchomalaciaTübingen palatal plate

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