A bifurcated silicone rubber stent for relief of tracheobronchial obstruction.

摘要: Though the techniques for surgical treatment after postintubation tracheal stenoses are well defined, management of major airway obstruction by tumor, external compression, or diffuse intrinsic disease below thoracic inlet still presents a difficult problem. Existing methods do not provide safe and effective relief at level distal trachea, carina, main bronchi. This report describes bifurcated silicone rubber stent initially designed to preserve patency airways in patient severe scalding injury trachea has since been used from mediastinal tumors inlet. The method insertion tracheostomy with guide bougies passed under direct bronchoscopic vision past obstructing lesion is described detail illustrated reference two patients tracheobronchial obstruction. Once tube place, breathes normally through mouth nose can speak, cough, clear his own suction if necessary. proved means restore asphyxia while further planned healing ensues. Our initial experience indicates that may be allowed remain position several months without adverse effects.