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: Chien-Heng Lin, Chieh-Ho Chen, Wen-Jue Soong, Su-Boon Yong
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Tungs’ Medical Journal
Subjects:
Online Access:https://doi.org/10.4103/ETMJ.ETMJ-D-24-00026
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author Chien-Heng Lin
Chieh-Ho Chen
Wen-Jue Soong
Su-Boon Yong
author_facet Chien-Heng Lin
Chieh-Ho Chen
Wen-Jue Soong
Su-Boon Yong
author_sort Chien-Heng Lin
collection DOAJ
description 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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2949-9720
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Tungs’ Medical Journal
spelling doaj-art-974063ffb82340fda96ea1b7d15041a42025-08-20T03:49:56ZengWolters Kluwer Medknow PublicationsTungs’ Medical Journal2071-35922949-97202025-01-01191121810.4103/ETMJ.ETMJ-D-24-00026Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatmentChien-Heng LinChieh-Ho ChenWen-Jue SoongSu-Boon YongPostintubation 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.https://doi.org/10.4103/ETMJ.ETMJ-D-24-00026bronchoscopy treatmentchildrenpostintubation tracheal stenosis
spellingShingle Chien-Heng Lin
Chieh-Ho Chen
Wen-Jue Soong
Su-Boon Yong
Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
Tungs’ Medical Journal
bronchoscopy treatment
children
postintubation tracheal stenosis
title Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
title_full Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
title_fullStr Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
title_full_unstemmed Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
title_short Postintubation tracheal stenosis in children: A review focused on bronchoscopic treatment
title_sort postintubation tracheal stenosis in children a review focused on bronchoscopic treatment
topic bronchoscopy treatment
children
postintubation tracheal stenosis
url https://doi.org/10.4103/ETMJ.ETMJ-D-24-00026
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