Endoscopic recannulation with temporary steroid-eluting biodegradable stenting as a bridge strategy for complete subglottic stenosis in a child with CHARGE syndrome.
Thomas Schrepfer, Edgar David Uribe Sanchez
✦ AI-curated · Sources linked
Case in brief
A toddler with CHARGE syndrome developed complete subglottic stenosis after prolonged neonatal intubation and multiple failed extubation attempts. Due to the patient's complex medical condition, an endoscopic approach was utilized at 21 months, involving recannulation of the stenotic segment followed by balloon dilation and placement of a temporary steroid-eluting biodegradable stent. Follow-up showed maintained airway patency, leading to successful laryngotracheal reconstruction without the need for a tracheostomy.
What made this case unusual
The use of a temporary steroid-eluting biodegradable stent as a bridge strategy in a medically fragile child with complete subglottic stenosis is noteworthy.
Diagnostic / clinical pearl
Endoscopic recannulation with biodegradable stenting can be a viable option for managing complete subglottic stenosis in high-risk pediatric patients.
Why it matters
This case highlights the potential for minimally invasive techniques to improve airway management in children with complex medical conditions.