H B Othersen1, A Hebra, E P Tagge. 1. Division of Pediatric Surgery, Medical University of South Carolina, Charleston 29425, USA.
Abstract
PURPOSE: The authors describe a new technique for management of complete tracheal rings in infants. METHODS: The procedure consists of rigid bronchoscopy with KTP laser division, in the posterior midline, of the complete rings and gradual advancement of the bronchoscope aided by endoscopic balloon dilation. CONCLUSIONS: The laser division, coupled with balloon dilation, allows for controlled separation of the cartilages posteriorly. The anterior esophageal wall buttresses the posterior tracheal separation.
PURPOSE: The authors describe a new technique for management of complete tracheal rings in infants. METHODS: The procedure consists of rigid bronchoscopy with KTP laser division, in the posterior midline, of the complete rings and gradual advancement of the bronchoscope aided by endoscopic balloon dilation. CONCLUSIONS: The laser division, coupled with balloon dilation, allows for controlled separation of the cartilages posteriorly. The anterior esophageal wall buttresses the posterior tracheal separation.