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Frontiers in surgery · 2026

Case Report: External fixation of airway stents for management of tracheal stenosis secondary to thyroid cancer.

Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.

Liu Conghui, Zeng Ziyang, Wang Ziyan, Li Xinran, Hou Jingpu, Fu Aishuang, Ge Yanlei

Аннотация

BACKGROUND: Thyroid cancer, in the advanced stage, often invades the airway and leads to tracheal stenosis. Airway stents can be used as a palliative treatment to restore airway and relieve dyspnea. However, stent migration remains a frequent complication, especially for lesions near the glottis. Simple fixing technology suitable for environments with limited resources is rarely reported.

METHODS: A 79-year-old woman with advanced thyroid cancer developed upper tracheal stenosis due to tumor compression. To restore airway patency, the patient accepted placement of a self-expanding metallic stent in the upper airway, but early migration occurred. Under combined ultrasound and bronchoscopic guidance, a simplified external fixation technique using a button was performed.

RESULTS: The stent restored tracheal patency, and the stent position was stabilized following external fixation. During the short-term follow-up, the stent remained stable, but the tumor progression, granulation tissue formation, and secretion retention were observed.

CONCLUSIONS: The technique of external fixation with an airway stent offers a new choice for subglottic airway stenosis caused by thyroid cancer in elderly patients. This technology helps maintain the stent position in the short term in an environment with limited medical materials. However, further observation and a longer follow-up period are needed to assess its generalizability and safety.