Open AccessNovel Use of a Disposable Curved Stent Insertion Plastic Device for Silicone Stent Placement in Patients With Limited Neck Extension
Author(s) -
LiHan Hsu,
ChiaChuan Liu,
Seiichi Nobuyama,
Teruomi Miyazawa
Publication year - 2009
Publication title -
journal of bronchology and interventional pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.648
H-Index - 33
eISSN - 1944-6586
pISSN - 1948-8270
DOI - 10.1097/lbr.0b013e318195dd07
Subject(s) - medicine , stent , silicone , surgery , granulation tissue , airway , bronchoscopy , tracheal stenosis , radiology , chemistry , organic chemistry , wound healing
As granulation tissue formation frequently complicates the insertion of metallic tracheobronchial stents in patients with longer life expectancy, the inert silicone tracheobronchial stent remains the treatment of choice for inoperable benign tracheal stenosis. Similarly, the Y silicone stent insertion also plays an important role for refractory malignant stenoses involving the carina and tracheobronchial junction. The classic insertion method of a straight or Y silicone stent requires rigid bronchoscopy under general anesthesia with a hyperextended neck. This is not an option for patients with limited neck extension. We report a novel method of silicone stent insertion using a disposable curved stent insertion plastic device to solve the problem in 2 patients. The new device may have a role in managing patients with central airway obstruction but limited neck extension. As a valuable alternative to conventional rigid bronchoscope, it also adds to the ease of the silicone stent placement.