Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
Postintubation tracheal stenosis (PITS) presents a substantial clinical dilemma in pediatric patients due to the delicate and narrow nature of the pediatric airway following intubation. Children with PITS may manifest with various respiratory symptoms, ranging from stridor, wheezing, and shortness o...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Tungs’ Medical Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/ETMJ.ETMJ-D-24-00026 |
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| Summary: | Postintubation tracheal stenosis (PITS) presents a substantial clinical dilemma in pediatric patients due to the delicate and narrow nature of the pediatric airway following intubation. Children with PITS may manifest with various respiratory symptoms, ranging from stridor, wheezing, and shortness of breath to life-threatening airway compromise. Here, we discussed the pathophysiology of PITS, which is characterized by mucosal injury, thereby leading to inflammation, granulation tissue formation, and fibrosis. For optimal outcomes, early diagnosis and intervention are critical, and PITS in children frequently require a multidisciplinary approach. Furthermore, we focused on the procedures, advantages, and potential complications of balloon dilatation, laser therapy, cryotherapy, and stent placement in children. This review aimed to provide clinicians with evidence-based guidance on the effective management of PITS in pediatric populations, ultimately improving patient care and outcomes. |
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| ISSN: | 2071-3592 2949-9720 |