Direct microlaryngoscopy, rigid bronchoscopy, and balloon dilatation of tracheal stenosis

DIAGNOSIS

Tracheal stenosis.

PROCEDURE

Direct microlaryngoscopy, rigid bronchoscopy, and balloon dilatation of tracheal stenosis.

INDICATION

Patient has a history of tracheal stenosis and is status post two balloon dilatations in the past.

PROCEDURE IN DETAIL

Patient was brought to the operating room and placed on the table in supine position.  After an adequate level of general anesthesia, patient was prepped and draped in the usual sterile fashion.  Laryngoscope was inserted into the oral cavity and advanced down to the level of larynx.  It was suspended in position and using microscopic visualization, a balloon catheter was placed through the laryngoscope into the stenotic area of the trachea and inflated to 12 atmospheres of pressure.  A #16-French dilator was used and was completely inflated. Three more dilatations were performed with the last extending up into the subglottic area.  The balloon catheter was removed and the laryngoscope was removed and the rigid bronchoscope was inserted and advanced down into the trachea and it was noted that the dilatation had been successful. The patient was then allowed to awaken from anesthesia and taken to recovery room in good condition.  There were no intraoperative complications.