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Douglas D. Leventhal, MD; Elizabeth Krebs, BA; Marc R. Rosen, MD

Arch Otolaryngol Head Neck Surg. 2009;135(5):467-471.

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.

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery, Thomas Jefferson University Hospital (Drs Leventhal and Rosen), and Jefferson Medical College, Thomas Jefferson University (Ms Krebs), Philadelphia, Pennsylvania.

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