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Ann Thorac Surg 2001;71:1630-1634
© 2001 The Society of Thoracic Surgeons
a Division of Pneumology, Department of Internal Medicine I, Medical School (Charité) of the Humboldt-University of Berlin, Berlin, Germany
b Division of Pneumology, Department of Otorhinolaryngology, Medical School (Charité) of the Humboldt-University of Berlin, Berlin, Germany
Accepted for publication November 18, 2000.
Address reprint requests to Dr Witt, Division of Pneumology, Department of Internal Medicine I, Medical School (Charité) of Humboldt University of Berlin, Schumannstr 20/21, D-10098 Berlin, Germany
Background. Tracheal reconstruction is the treatment of choice in nontumorous tracheal stenoses, but recurrences and concomitant medical conditions limit this approach. We investigated the outcome after balloon dilatation and silicone stent implantation.
Methods. Forty-two patients with inoperable tracheal stenoses underwent balloon dilatation and afterward silicone stent implantation. Patients were divided into two groups, in group A 24 patients received tracheal stents as a temporary treatment. In group B, definitive stenting was done in 18 patients with severe concomitant medical conditions that did not allow for stent removal.
Results. Immediate results were satisfactory in all patients. In group A, stents could be removed in 12 patients after a mean interval of 20 months. Restenting was not required during the following 18.9 months. Twelve patients are still waiting for stent removal after a mean follow-up of 20 months. In group B, mean follow-up is now 48.4 months. Complications included retained secretions, dislocation, and granuloma formation.
Conclusions. Stenting after balloon dilatation is safe and effective in benign tracheal stenoses. After temporary use, stents can be removed when local and general conditions permit. In all other patients, stenting proved beneficial for 5 years as more definitive treatment.
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