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Vol. 43. Issue 12.
Pages 692-694 (January 2007)
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Vol. 43. Issue 12.
Pages 692-694 (January 2007)
CASE REPORT
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Balloon Dilatation of the Trachea as Treatment for Idiopathic Laryngotracheal Stenosis
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Carlos Jordáa,
Corresponding author
carlosjorda@ono.com

Correspondence: Dr. C. Jordá. Unidad de Cirugía Torácica. Hospital de Navarra. Irunlarrea,3.31008 Pamplona. Navarra. España
, Juan Carlos Peñalverb, Juan Escriváb, José Cerónb, José Padillab
a Unidad de Cirugía Torácica, Hospital de Navarra, Pamplona, Navarra, Spain
b Servicio de Cirugía Torácica, Hospital Universitario La Fe, Valencia, Spain
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The treatment of choice for idiopathic laryngotracheal stenosis is tracheal resection and anastomosis, although some authors prefer more conservative management.

Between January 1,1996 and January 1,2005,8 patients-all women-with idiopathic laryngotracheal stenosis were treated in the chest surgery department of the Hospital Universitario La Fe in Valencia, Spain. One case was treated by means of surgery and so was excluded from this study. The remaining 7 women were treated by tracheal balloon dilatation;4 required just 1 dilatation (and remained asymptomatic),2 required 2 dilatations, and 1 required 4 dilatations. The median symptom-free interval was 25.5 months, and there was no associated mortality or morbility.

We conclude that balloon dilatation, which was not associated with mortality or morbility, is a suitable treatment option for idiopathic laryngotracheal stenosis.

Key words:
Idiopathic laryngotracheal stenosis
Balloon dilatation
Tracheal resection

El tratamiento de elección de la estenosis traqueal idiopática es la resección-anastomosis traqueal, aunque algunos autores defienden el tratamiento conservador.

Entre el 1 de enero de 1996 y el 1 de enero de 2005, en el Servicio de Cirugía Torácica del Hospital Universitario La Fe de Valencia se trató a 8 pacientes con estenosis traqueal idiopática, en un caso mediante cirugía, por lo que se excluyó del estudio. Todos los pacientes eran mujeres y 7 de ellas fueron tratadas mediante dilataciones traqueales neumáticas periódicas. Únicamente han precisado una dilatación 4 pacientes, que hasta ahora permanecen asintomáticas. Dos han necesitado una segunda dilatación y una paciente ha requerido 4.La mediana de intervalo sin síntomas fue de 25,5 meses. No hubo mortalidad ni morbilidad asociada.

En conclusión, la dilatación traqueal neumática es una opción terapéutica adecuada en el tratamiento de la estenosis traqueal idiopática, sin morbimortalidad atribuible a la técnica.

Palabras clave:
Estenosis traqueal idiopática
Dilatación traqueal neumática
Resección traqueal
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Copyright © 2007. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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