First experience with the use of a silicone stent in the treatment of posterior glottic stenosis – a case report

Czech version

Authors: Gabriela Vidanová ¹ ; Bálinth Tóth ² ; Martin Babinec ³; Žofia Frajková ^3-5 ; Miroslav Tedla ^3,6
Authors‘ workplace: Foniatrické oddelenie, UN Bratislava ¹; Lekárska fakulta UK v Bratislave ²; Klinika otorinolaryngológie a chirurgie hlavy a krku LF UK a UN Bratislava ³; Katedra logopédie, Pedagogická fakulta UK v Bratislave ⁴; Neurologické oddelenie, FN Trnava ⁵; Institute of Cancer and Genomic Sciences, University of Birmingham, Veľká Británia ⁶
Published in: Otorinolaryngol Foniatr, 73, 2024, No. 1, pp. 43-47.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl202443

Overview

The case report describes a case of a 78-year-old patient after microlaryngosurgery with intubation and with stenosis in the area of the posterior glottic commissure. The solution method is a new procedure using a silicone stent inserted and sewn into the tunnel in the area of the stenosis. The silicone stent was removed after 5 weeks, and the remaining part of the stenosis was interrupted. The surgical procedure in the patient led to decannulation, voice improvement and increased the quality of life. This treatment method appears to be a suitable way of solving some types of stenosis in the area of the posterior glottic commissure.

Keywords:

implant – acquired laryngeal stenosis – surgical procedure

Sources

1. Melley LE, Alnouri G, Sataloff RT. A Novel Surgical Technique for Posterior Glottic Stenosis Using a Silastic Implant. J Voice 2023; 37 (1): 110–116. Doi: 10.1016/j.jvoice.2020.10.022.

2. Bogdasarian RS, Olson NR. Posterior glottic laryngeal stenosis. Otolaryngol Head Neck Surg (1979) 1980; 88 (6): 765–772. Doi: 10.1177/019459988008800625.

3. Kremer C, Jiang R, Singh A et al. Factors Affecting Posterior Glottic Stenosis Surgery Outcomes: Systematic Review and Meta-analysis. Ann Otol Rhinol Laryngol 2021; 130 (10): 1156–1163. Doi: 10.1177/0003489421997278.

4. Hillel AT, Karatayli-Ozgursoy S, Samad I et al. Predictors of posterior glottic stenosis: a multi-institutional case-control study. Ann Otol Rhinol Laryngol 2016; 125 (3): 257–263. Doi: 10.1177/0003489415608867.

5. DeHart AN, Richter GT. Posterior glottic stenosis: management and outcomes. Curr Opin Otolaryngol Head Neck Surg 2020; 28 (6): 414–424. Doi: 10.1097/MOO.0000000000000671.

6. Schneiderová J, Zeleník K, Komínek P. Zadní glotická stenóza. Otorinolaryngol Foniatr 2018; 67 (2): 67–70.

7. Howard NS, Shiba TL, Pesce JE et al. Photodocumentation of the development of type I posterior glottic stenosis after intubation injury. Case Rep Surg 2015; 2015: 504791. Doi: 10.1155/2015/504791.

8. Lahav Y, Shoffel-Havakuk H, Halperin D. Acquired Glottic Stenosis – The Ongoing Challenge: A Review of Etiology, Pathogenesis, and Surgical Management. J Voice 2015; 29 (5): 646 e641–646 e610. Doi: 10.1016/j.jvoice.2014.10. 012.

9. Rosen C, Simpson CB. Posterior glottic stenosis: endoscopic approach. Operative Techniques in Laryngology. Berlin: Springer; 2008: 175–180. Doi: 10.1007/978-3-540-68107-6_28.

10. Gardner GM. Posterior glottic stenosis and bilateral vocal fold immobility: diagnosis and treatment. Otolaryngol Clin North Am 2000; 33 (4): 855–878. Doi: 10.1016/s0030-6665 (05) 702 48-6.

11. Lackey TG, Chabuz CA, Fink DS. Posterior Glottic Stenosis: A Review of Surgical Management Outcomes. Int J Head Neck Surg 2022; 13 (1): 47–54. Doi: 10.1016/j.jvoice.2014.10.012.

12. Cates DJ, Magnetta MJ, Smith LJ et al. Novel, anatomically appropriate balloon dilation technique of the glottis to treat posterior glottic stenosis in a 3D-printed model. Laryngoscope 2019; 129 (10): 2239–2243. Doi: 10.1002/lary.27 524.

13. Rosen CA, Wang H, Cates DJ et al. The glottis is not round: Teardrop-shaped glottic dilation for early posterior glottic stenosis. Laryngoscope 2019; 129 (6): 1428–1432. Doi: 10.1002/ lary.27594.

14. Prasanna Kumar S, Ravikumar A, Senthil K et al. Role of Montgomery T-tube stent for laryngotracheal stenosis. Auris Nasus Larynx 2014; 41 (2): 195–200. Doi: 10.1016/j.anl.2013.10.008.

15. Aboulker P, Sterkers JM, Demaldent JE. Modifications apportées à l‘intervention de Réthi. Intérêt dans les sténoses laryngo-trachéales et trachéales. Ann Otol Laryngol 1966; 83: 98–106.

16. Eliachar I, Nguyen D. Laryngotracheal stent for internal support and control of aspiration without loss of phonation. Otolaryngol Head Neck Surg 1990; 103 (5Pt1): 837–840. Doi: 10.1177/019459989010300531.

17. Zalzal GH. Stenting for pediatric laryngotracheal stenosis. Ann Otol Rhinol Laryngol 1992; 101 (8): 651–655. Doi: 10.1177/000 348949210100804.

ORCID autorov

G. Vidanová 0009-0008-4220-7612,

B. Tóth 0009-0003-8434-6032,

Ž. Frajková 0000-0003-1957-9297,

M. Tedla 0000-0002-3471-7195.

Prijaté k recenzii: 10. 2. 2023
Prijaté do tlače: 9. 5. 2023

MUDr. Gabriela Vidanová
Foniatrické oddelenie
UN Bratislava
Antolská 11
851 07 Bratislava
gabriela.orovnicka@gmail.com