Bioabsorbable Stenting in a Case of Severe Pediatric Posterior Glottic Stenosis.
Sage Feminella, Alyssa J Snyder, Lara Reichert
✦ AI-curated · Sources linked
Case in brief
A 2-year-old girl with transverse myelitis and neuromuscular respiratory failure developed posterior glottic stenosis after multiple intubations. Following tracheostomy due to recurrent respiratory failure, she underwent endoscopic division of scar tissue and placement of a Propel™ steroid-eluting stent. At follow-ups, significant reduction in scar tissue was observed, allowing for tracheostomy capping despite ongoing vocal cord paresis.
What made this case unusual
The use of a Propel™ steroid-eluting stent for managing posterior glottic stenosis in a pediatric patient is an off-label application that is not commonly reported in airway reconstruction.
Diagnostic / clinical pearl
Clinicians should consider the potential role of steroid-eluting stents in managing complex airway stenosis in pediatric patients, particularly when traditional methods have failed.
Why it matters
This case underscores the need for further research into innovative treatments for pediatric airway disorders, which may improve outcomes and reduce complications associated with conventional interventions.