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Int J Pediatr Otorhinolaryngol ; 72(9): 1371-6, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18606458

RESUMO

OBJECTIVE: Review of our experience in the management of pediatric tracheal stenosis using endoscopic techniques and self-expanding intraluminal stents. METHODS: Thirteen children (aged 1 week to 14 years) with various causes of tracheal stenosis were treated. A total of 15 stents were used, 13 self-expanding nitinol stents and 3 silicone self-expanding stents. Follow-up ranged from 6 month to 8 years. RESULTS: There were no stent related mortalities. Serious complications occurred in 4 patients [30.7%] but all were managed successfully. The most frequent problem was granulation tissue formation. Patient follow-up ranged from 6 months to 8 years. In the short-term (18-24 months) 12 stents remained patent and functional. On the longer term (5 years) 3 stents required removal, one required replacement and another resulted in stenosis. CONCLUSION: Endoluminal stenting can have an increasing role in the management of selected cases pediatric tracheal stenosis with acceptable morbidity and stable long-term results.


Assuntos
Stents , Estenose Traqueal/terapia , Adolescente , Criança , Pré-Escolar , Endoscopia , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Stents/efeitos adversos
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