How I do it: novel use of a modified nasopharyngeal airway in laryngotracheal stenosis as a temporary stent

J Laryngol Otol. 2024 Jun;138(6):696-698. doi: 10.1017/S0022215123001858. Epub 2023 Nov 6.

Abstract

Background: This paper reports the innovative use of a modified nasopharyngeal airway device as a temporary stent in patients with laryngotracheal stenosis. It also discusses the technique of endoscopic stent placement, and our experience in terms of the indications and suitability.

Method: The nasopharyngeal airway device was modified to use as an airway stent by trimming it to the desired length. Next, the stent was inserted endoscopically and anchored using a novel approach.

Results: The surgery was performed successfully without complications. The patients had full use of their voice while the stent was in situ. No significant granulation tissue was observed.

Conclusion: This paper demonstrates the feasibility of using a nasopharyngeal airway device as a temporary stent to prevent restenosis in cases where the patients have a strong demand for phonation. The modified nasopharyngeal airway device is potentially very promising, but cases must be selected carefully to avoid compromising efficacy and safety.

Keywords: Tracheal stenosis; phonation; stents; tracheostomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Endoscopy / methods
  • Feasibility Studies
  • Female
  • Humans
  • Laryngostenosis* / etiology
  • Laryngostenosis* / surgery
  • Male
  • Middle Aged
  • Nasopharynx
  • Stents* / adverse effects
  • Tracheal Stenosis* / surgery
  • Treatment Outcome