Klaus Wassermann, MD, Frank Mathen, MD, Hans Edmund Eckel, MD

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Presentation transcript:

Malignant laryngotracheal obstruction: a way to treat serial stenoses of the upper airways Klaus Wassermann, MD, Frank Mathen, MD, Hans Edmund Eckel, MD The Annals of Thoracic Surgery Volume 70, Issue 4, Pages 1197-1201 (October 2000) DOI: 10.1016/S0003-4975(00)01614-3

Fig 1 Patient 1. Roentgenogram of thoracic outlet. Two overlapping endotracheal Palmaz stents in situ. The Annals of Thoracic Surgery 2000 70, 1197-1201DOI: (10.1016/S0003-4975(00)01614-3)

Fig 2 Patient 2. (Left) Glottis 2 days postcordectomy, edema of resection wound. (Middle) Subglottic level. A trace of the resection wound is visible. In the background behind the cricoid, the proximal stent border. (Right) The proximal circumference of the dynamic stent. The Annals of Thoracic Surgery 2000 70, 1197-1201DOI: (10.1016/S0003-4975(00)01614-3)

Fig 3 Patient 3. (Left) Glottic resection 2 days after microlaryngoscopic surgery (cordotomy). (Middle) Subglottic extension of wound with proximal stent border in the background. (Right) Polyflex stent with fistula underneath and distal intact carina. The Annals of Thoracic Surgery 2000 70, 1197-1201DOI: (10.1016/S0003-4975(00)01614-3)

Fig 4 (A) Peak expiratory flow before and after the double procedure. (B) Peak inspiratory flow before and after the double procedure. Symbols denote individual patients. The Annals of Thoracic Surgery 2000 70, 1197-1201DOI: (10.1016/S0003-4975(00)01614-3)

Fig 5 Dyspnea score before and after the double procedure. Symbols denote individual patients. ∗Patient 5 (see Table 1) before tracheotomy. The Annals of Thoracic Surgery 2000 70, 1197-1201DOI: (10.1016/S0003-4975(00)01614-3)