silicon and Tracheal-Stenosis

To report experience of perioperative nursing of tracheal silicon stent implantation in infants.. Retrospective analysis on the cases of tracheal silicon stent implantation in infants in our hospital.. Since middle of 2014, totally four tracheal silicon stent implantation were performed in our center. Of them, one case was recurrent tracheoesophageal fistula and the other three cases were traheomalacia. Parent's psychological support, infants' nutrition support and airway care were key responsibility for a nurse before implantation. During the procedure of stent implantation, it was responsible for a nurse to closely monitor the infants and to support operator. After the implantation, airway care and prevention of intra-airway bacterial colonization were important to avoid complications.

Topics: Female; Humans; Infant; Male; Perioperative Nursing; Silicon; Stents; Tracheal Stenosis; Tracheoesophageal Fistula

Laryngotracheal stenosis is a complex condition of airway compromise involving either the larynx or trachea, or both.. This paper describes a new method of endoscopically inserting a silicone tracheal T-tube as treatment for laryngotracheal stenosis. The advantages of this method over previously described methods are discussed.

Topics: Adolescent; Adult; Aged; Child; Equipment Design; Humans; Infant; Intubation, Intratracheal; Laryngoscopy; Laryngostenosis; Larynx; Middle Aged; Silicon; Trachea; Tracheal Stenosis

Topics: Female; Humans; Infant; Silicon; Stents; Tracheal Stenosis

To discuss the function and operative method of silicon T tube in laryngotracheal reconstruction.. Two hundred and ninety-seven patients of laryngotracheal stenosis were operated with laryngotracheal reconstruction in our department. All of patients were tracheostomy dependent before reconstruction and were placed a silicon T-tube stenting for 3 to 6 months after reconstruction.. Two hundred and eighty-nine patients (97.3%) were successfully decannulated with good airway patency and effective phonation. They were followed up from 1 to 10 years, and no recurrence was found.. Silicon T-tube is an effective and safe stent for laryngotracheal reconstruction. Paying attention to some application details may avoid the complication and obtain a satisfactory effect.

Topics: Adolescent; Adult; Child; Female; Humans; Laryngostenosis; Male; Middle Aged; Plastic Surgery Procedures; Silicon; Tracheal Stenosis; Young Adult

Topics: Humans; Laryngostenosis; Silicon; Stents; Tracheal Stenosis

Over a period of 6 years, 58 patients aged between 55 +/- 16 years have been treated for post-intubation tracheal stenosis (STPI). These patients were characterised by their frequency of an underlying respiratory or cardiac failure, a duration of intubation which was sometimes short and a delay between the extubation and the detection of stenosis which was les than one month in about one half of the cases. Thirty of the 58 patients presented with respiratory distress on admission. All the stenoses were treated initially by mechanical dilatation using a rigid bronchoscope. Radial incisions using an Nd-Yag laser were performed when necessary to facilitate the dilatation. The great majority of stenoses which were not fitted up with a tracheal endoprosthesis (EPT) at the first attempt recurred, leading to repeated therapeutic bronchoscopies (221 sessions in all). Fitting an EPT (Dumon prosthesis) was necessary in 35 cases on 12 occasions at the first attempt with the first bronchoscopy, and 23 times following a recurrence. Amongst the recurring stenoses a stabilisation was obtained at the price of repeated dilatations (4.3 sessions on average in only nine patients). Seven patients finally had a surgical resection and anastamosis of the trachea, of whom four had a transitory instillation of an EPT for the stenosis. The removal of the EPT was later attempted in 11 patients. Four did not present with any symptomatic recurrence. The secondary migration of the EPT is in practice one of the main inconveniences of the silicon prosthesis (8 cases now experienced). Our approach, which used to favour the mechanical dilatation has lead to a relatively high number of failures and thus to repeated bronchoscopies. This has lead us to re-define our therapeutic approach. The current schema which we propose is in the course of being validated in which we use EPT and surgical repair of the trachea more often. Only short stenoses (less than 1 cm) with a diaphragm are treated by dilatation and laser. The others are fitted initially with an EPT. The final management is guided by the progress in the stenosis, the tolerance of the endoprosthesis and the operability of the patients.

Topics: Adolescent; Adult; Aged; Aged, 80 and over; Anastomosis, Surgical; Bronchoscopy; Dilatation; Endoscopy; Female; Foreign-Body Migration; Humans; Intubation, Intratracheal; Laser Therapy; Male; Middle Aged; Prostheses and Implants; Recurrence; Respiratory Insufficiency; Silicon; Tracheal Stenosis

Topics: Acrylic Resins; Fluorocarbon Polymers; Intubation, Intratracheal; Laryngostenosis; Postoperative Complications; Silicon; Surgical Instruments; Tracheal Stenosis; Tracheotomy