Abstract
In this issue of The Annals, covered expandable stents are offered for management of “tracheal granulation tissue” where tracheal resection is not possible [1]. We have recently been referred a number of patients with postintubation tracheal stenosis—characterized in earlier postulcerative stages by profuse granulation tissue— who were treated with expandable, uncovered stents. The inevitable followed. Granulations grow through the interstices of the stent incorporating the stent into the tracheal wall. The consequent obstruction becomes difficult to manage, even palliatively, with laser. It is often impossible to remove the offending stent bronchoscopically, and sometimes difficult even by open total linear tracheotomy. What is almost incomprehensible is that this outcome was not evident in advance to the surgeon.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.