Decannulation in Tracheal Stenosis Deemed Inoperable Is Possible After Long-Term Airway Stenting

Surgical Management of Benign Acquired Tracheoesophageal Fistulas: A Ten-Year Experience

“…It is our routine to initially use silicone T-Tubes because they are easy to place, are safe, and have a low migration rate. Moreover, the lateral limb of the tube can be opened if needed [16,17]. After adaptation, the T-Tube can be switched to a Dumon stent.…”

“…After adaptation, the T-Tube can be switched to a Dumon stent. After long-term airway stenting, removal of the tracheal appliance is possible if there is no residual stenosis or malacia and if the mucosa has no signs of inflammatory activity [17].…”

“…In our series, 4 patients had tracheal stents before the operation. Endoscopic placement of tracheal stents adds little damage to the tracheal wall and allows phonation and humidification of the upper airways [16,17]. The decision to place preoperative tracheal stents was individualized.…”

Coated expandable metal stents are effective irrespective of airway pathology

“…This results can be explained considering the significant number of patients affected by malignant disease in our TBS population, which rarely achieve a successful decannulation. Terra and colleague reported in an exclusive benign tracheal stenosis population, an estimate successful decannulation rate of 27.5% (19). In our center the stent usually remain in place at list 36 months.…”

Stents for airway strictures: selection and results

“…Terra et al (9) reported their experience in 92 patients with benign airway strictures using 258 silicone stents (T-tubes, 72%; DUMON, 15%; Polyflex, 12%; and Y-tube, 1%). Interestingly, the authors showed that decannulation was possible in 21% of cases who were considered inoperable before stenting.…”