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Ann Thorac Surg 1983;35:52-57
© 1983 The Society of Thoracic Surgeons

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Articles

Endotracheal Cryotherapy in the Treatment of Refractory Airway Strictures

From the Departments of Surgery, University of Florida, Gainesville, FL, and University of Virginia, Charlottesville, VA

Accepted for publication March 30, 1982.

^* Address reprint requests to Dr. Rodgers, Box 181, Department of Surgery, University of Virginia Medical Center, Charlottesville, VA 22908

In 1977 we reported the successful use of endotracheal cryotherapy in the treatment of experimental tracheal strictures. This technique has now been employed in the treatment of 29 refractory airway lesions in 27 patients ranging in age from 3 months to 42 years. The technique utilizes a nitrous oxide cryoprobe measuring 3 mm in diameter and 43 cm in length. The tip of the probe is applied directly to the stricture through the endoscope and cooled to –80°C for 45 seconds. On removal of the probe, the frozen tissue is resected with biopsy forceps. Cryotherapy has successfully relieved the airway strictures in 20 of the 24 lesions in which treatment was completed. Fifteen patients have been successfully extubated. The technique of endotracheal cryotherapy has proved helpful in the management of selected patients with refractory airway strictures.

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