J. PEDIATR. SURG. 35/2 (2000) 262-264

A new method of treatment for complete tracheal rings in an infant: Endoscopic laser division and balloon dilation

Othersen H.B. Jr., Hebra A., Tagge E.P., Tracy I., King D.

Medical University of South Carolina, 300 MUSC Complex, 171 Ashley Ave, Charleston, SC 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. Copyright (C) by W.B. Saunders Company.

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