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Ann Thorac Surg 2004;78:2188-2190
© 2004 The Society of Thoracic Surgeons

How to do it

Fixation of Silicone Stents in the Subglottic Trachea: Preventing Stent Migration Using a Fixation Apparatus

Keisuke Miwa, MDa,*, Shinzo Takamori, MDa, Akihiro Hayashi, MDa, Mari Fukunaga, MD, Kazuo Shirouzu, MDa

a Department of Surgery, Kurume University School of Medicine, Kurume, Japan

Accepted for publication October 16, 2003.

* Address reprint requests to Dr Miwa, Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan
keisuke{at}med.kurume-u.ac.jp

Silicone stents are widely used to treat benign or malignant airway stenosis. However, since straight silicone stents placed into the subglottic trachea to treat stenosis display a high risk of migration, novel approaches are required. The present report outlines our method of external fixation for silicone stents in the subglottic trachea. This technique utilizes a fixation apparatus, is readily performed, and may help to overcome the hesitation seen in placing silicone stents for subglottic tracheal stenosis.






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