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  • Title: Flexible laser bronchoscopy for subglottic stenosis in the awake patient.
    Author: Leventhal DD, Krebs E, Rosen MR.
    Journal: Arch Otolaryngol Head Neck Surg; 2009 May; 135(5):467-71. PubMed ID: 19451468.
    Abstract:
    OBJECTIVE: To describe our technique and experience of treating adult subglottic stenosis using the Nd:YAG laser through a flexible bronchoscope via a fiberoptic delivery system. DESIGN: Retrospective chart review. PATIENTS: This study included 16 patients with subglottic stenosis who presented to the senior surgeon (M.R.R.) for laser bronchoscopy from January 2000 to December 2006. MAIN OUTCOME MEASURES: Progression toward decannulation and preoperative and postoperative symptoms were assessed. RESULTS: Four of 7 patients who required tracheostomy tubes at the start of laser bronchoscopy underwent decannulation. None of the remaining 9 patients required tracheostomy tubes during treatment. All patients had improvement in their symptoms. Complications of the procedure were minimal. CONCLUSIONS: Bronchoscopy with the Nd:YAG laser is a well-tolerated and effective treatment for subglottic stenosis. Laryngotracheal trauma caused by an endotracheal tube and/or rigid bronchoscope is avoided. This procedure may be useful to achieve and maintain a patent airway.
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