Endoscopic Airway Surgery
Balloon dilation: A balloon is inserted through the mouth into the windpipe narrowing (called stenosis) and then inflated to dilate it open. This is sometimes combined with laser treatment of scar tissue. Medications to prevent scar reformation can also be applied during this procedure.
Steroid injection: Steroids can be injected into the narrowed windpipe to control scar formation usually without causing any of the known side effects of steroids. In many cases, injections of the stenosis can be done in the office. Autoimmune or idiopathic subglottic stenosis often responds very well to this therapy so that patients can often avoid having to go to the operating room.
Endoscopic repair of posterior glottic stenosis: Some strictures around the vocal folds can be exclusively managed endoscopically by performing complex surgical techniques along with applying medication to the affected area to reduce scar tissue. Dr. Weidenbecher has developed an endoscopic technique that allows some patients to regain vocal cord function and safely eliminate the need for a tracheostomy.
Click here to see a video of one of Dr. Weidenbecher's patients
Normal windpipe
Intubation injury from a breathing tube is the most common cause for scar tissue to develop along the vocal fold joints and the windpipe. The green arrows show the severely limited airway. In many cases, a procedure performed through the mouth (endoscopic) using a combination of laser, balloon, and steroids, can be successful in reversing the narrowing.