Stephanie Hulstein1, Henry Hoffman2. 1. University of Iowa Hospitals and Clinics Department of Otolaryngology Head and Neck Surgery, Iowa City, IA, USA. Electronic address: stephanie-hulstein@uiowa.edu. 2. University of Iowa Hospitals and Clinics Department of Otolaryngology Head and Neck Surgery, Iowa City, IA, USA.
Abstract
OBJECTIVE: To identify a safe approach to airway management during the endoscopic balloon dilation of subglottic stenosis BACKGROUND: Subglottic stenosis is an abnormal narrowing of the upper airway commonly managed by endoscopic technique performed on an unsecured airway. METHODS: Review of surgical treatment of subglottic stenosis cases by the senior author. TECHNIQUE: Following steroid injection and radial cuts performed either under jet anesthesia or mask ventilation with brief periods of apnea, a small endotracheal tube may be passed beyond the narrowing to permit adjacent balloon dilation with the airway secured. CONCLUSIONS: We introduce an endoscopic subglottic balloon dilation technique done with a secured airway.
OBJECTIVE: To identify a safe approach to airway management during the endoscopic balloon dilation of subglottic stenosis BACKGROUND:Subglottic stenosis is an abnormal narrowing of the upper airway commonly managed by endoscopic technique performed on an unsecured airway. METHODS: Review of surgical treatment of subglottic stenosis cases by the senior author. TECHNIQUE: Following steroid injection and radial cuts performed either under jet anesthesia or mask ventilation with brief periods of apnea, a small endotracheal tube may be passed beyond the narrowing to permit adjacent balloon dilation with the airway secured. CONCLUSIONS: We introduce an endoscopic subglottic balloon dilation technique done with a secured airway.