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Treatment of Tracheal Stenosis in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for tracheal stenosis
546
Treatment of tracheal stenosis with balloon dillation
9027
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
13525

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10
location_onGermany, Karlsruhe

Department of Pediatric and Adult Otolaryngology, Head and Neck Surgery, Plastic Facial Surgery

The St. Vincentius Clinic is the largest multidisciplinary medical institution and academiс hospital of the Albert Ludwig University of Freiburg. Treatment and diagnosis of patients is conducted by doctors with a scientific degree. They are introducing the latest progressive techniques. The clinic has at its disposal the latest
Diagnostic tests for tracheal stenosis
1848
Treatment of tracheal stenosis with balloon dillation
15205
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
20596

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Otolaryngology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for tracheal stenosis
2160
Treatment of tracheal stenosis with balloon dillation
17908
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
24734

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Otolaryngology, Head and Neck Surgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for tracheal stenosis
2028
Treatment of tracheal stenosis with balloon dillation
16801
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
23342

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Otolaryngology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for tracheal stenosis
1870
Treatment of tracheal stenosis with balloon dillation
15646
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
22224

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Otolaryngology, Head and Neck Surgery

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for tracheal stenosis
2302
Treatment of tracheal stenosis with balloon dillation
20514
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
28714

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Otolaryngology, Plastic and Aesthetic Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for tracheal stenosis
1997
Treatment of tracheal stenosis with balloon dillation
16028
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
22207

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Otolaryngology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for tracheal stenosis
2085
Treatment of tracheal stenosis with balloon dillation
17773
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
25119

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Otolaryngology, Head and Neck Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Diagnostic tests for tracheal stenosis
2004
Treatment of tracheal stenosis with balloon dillation
17012
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
23653

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Otolaryngology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for tracheal stenosis
2695

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Adult and Pediatric Otolaryngology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Diagnostic tests for tracheal stenosis
1870
Treatment of tracheal stenosis with balloon dillation
15732
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
22223

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Adult and Pediatric Otolaryngology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostic tests for tracheal stenosis
2011
Treatment of tracheal stenosis with balloon dillation
17476
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
24874

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Adult and Pediatric Otolaryngology, Head and Neck Surgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for tracheal stenosis
1864
Treatment of tracheal stenosis with balloon dillation
15661
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
22289

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Otolaryngology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for tracheal stenosis
1934
Treatment of tracheal stenosis with balloon dillation
16970
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
23796

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Otolaryngology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostic tests for tracheal stenosis
2093
Treatment of tracheal stenosis with balloon dillation
17567
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
24951

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Otolaryngology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Diagnostic tests for tracheal stenosis
1822
Treatment of tracheal stenosis with balloon dillation
14931
Treatment of tracheal stenosis with resection with subsequent plastic repair with end-to-end anastomosis
20800

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Otolaryngology, Head and Neck Surgery, Facial Plastic Surgery

The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
Diagnostic tests for tracheal stenosis
2123
| from Booking Health GmbH

Tracheal stenosis is usually a post-traumatic disease. It is associated with the growth of scar tissue inside the trachea after prolonged intubation and mechanical ventilation. Both open surgery and endoscopic procedures can be used for treatment. Prior to treatment, patients are carefully diagnosed: computed tomography and bronchoscopy are performed to assess the severity of stenosis, its cause, and the severity of the respiratory failure.

Content

  1. Endoscopic treatment
  2. Surgical treatment

Stenosis is usually treated with endoscopic procedures: balloon dilatation, laser intervention, and prosthetic repair. Such operations are associated with a low risk of complications and allow reliable restoration of the tracheal lumen.

You can undergo treatment at the University Hospital of the Ludwig Maximilian University of Munich, the University Hospital Ulm, the University Hospital Frankfurt am Main.

Please leave your request on the Booking Health website, and we will select the most suitable clinic and doctor for you, make an appointment, help collect the necessary documents, and arrange flights and accommodation. During your treatment in Germany, you will be accompanied by a medical interpreter, and a personal coordinator will be in constant contact with you.

Endoscopic treatment

 

Endoscopic treatment of tracheal stenosis involves the use of a laser, balloon dilatation, bougienage, and prosthetic repair (stenting). These procedures are used as basic or additional, on a scheduled or emergency basis.

Bougienage and dilation

 

Bougienage is the simplest and fastest method of treatment, providing a quick restoration of the normal tracheal lumen. The procedure is carried out with special dilators. They are introduced into the tracheal lumen, stretching the walls. The diameter of the dilators after each injection is increased by 1-2 mm. To restore respiratory function in adults, a diameter of at least 12 mm is required.

Balloon dilatation is a similar procedure, but the trachea is dilated with a balloon, which inflates and increases the diameter. This manipulation is technically more perfect. It is more effective and safer than bougienage. The balloon can achieve pressure of up to 15 atmospheres, which makes it possible to destroy even dense scars of great length. The risk of injury is lower than with bougienage. After the procedure, the cartilaginous half-rings are lost, but the resulting scar tissue is dense enough to keep the tracheal lumen open during breathing.

Both procedures are a temporary solution to the problem. Long-term results can be achieved in only 15% of patients, while the rest develop recurrent stenosis. A favorable prognosis factor is that the length of the stenosis is not more than 1 cm. If the length is longer, the person will need an additional operation, and bougienage or balloon dilatation only helps stabilize the patient's condition at the stage of preparation for surgery.

Balloon dilatation can be performed according to emergency indications: for decompensated tracheal stenosis. At this point, its diameter, as a rule, narrows to 5 mm or less. The bougienage or dilatation procedure begins immediately after a person is admitted to the clinic. The scheduled dilatation is performed when the diameter of the tracheal lumen is more than 5 mm.

Bronchoscopic laser intervention

 

It is used for a clearly formed fibrous ring, up to 2.5 cm long, as well as for cicatricial obliteration of the tracheal lumen above the tracheostomy (the hole that goes to the front surface of the neck). This is a scheduled procedure.

With the help of the laser, doctors dissect the scar tissue in the radial direction, to a depth of up to 2 mm. Laser exposure does not reach the boundaries of the tracheal wall. Laser incisions are usually made in 3-4 directions, depending on the shape of the fibrous ring. Doctors try to avoid laser exposure to the posterior tracheal wall so as not to damage the esophagus.

The laser procedures may be followed by other manipulations. For example, tracheal bougienage and the introduction of an endoprosthesis.

Like balloon dilatation or bougienage, the laser procedure provides a temporary effect. It keeps for 2-4 weeks. Therefore, the manipulation is used as an independent method when the length of cicatricial stenosis is up to 1 cm. If the length is greater, an additional prosthetic repair is required.

Tracheal prosthetic repair (stenting) 

 

This is the insertion of a tube that keeps the trachea open. It stabilizes the tracheal walls after the restoration of the lumen with a laser or balloon. Doctors in Germany use the very latest types of endoprostheses, which:

  • provide adequate lung ventilation; 
  • keep the tracheal lumen open; 
  • are made of biologically inert material that does not cause inflammation; 
  • are easily inserted and, if necessary, easily removed from the trachea; 
  • do not interfere with the removal of mucus. 

The shape of the stents can be linear, T-shaped, and bifurcated. The most commonly used are linear. They are effective for cicatricial stenosis, which is localized 2 cm below the vocal folds of the larynx. The standard width of the prosthesis is 16 mm, although smaller diameters, up to 14 mm, can be used in women of small stature. The standard length of the inserted endoprosthesis is plus 1-1.5 cm to the length of the cicatricial stenosis.

As for the material of manufacture, the endoprosthesis can be metal, silicone, polyamide, as well as metal with a silicone coating.

T-shaped prostheses appeared before all. They are two perpendicular smooth tubes. Such prostheses are placed in patients with a tracheostomy, as well as for stenoses that spread to the larynx or laryngotracheal junction. As a rule, the diameter of such prostheses is 13-15 mm.

Bifurcated prostheses are rarely used. They are placed in the bifurcation zone of the trachea if the scars are localized in this area.

Endoprosthesis is not placed permanently. After 1-2 years, dense scar tissue can form in the trachea, which creates a reliable frame. If the tracheal lumen exceeds 1 cm, this is sufficient for normal breathing. Therefore, the stent is removed. Patients in whom the zone of cicatricial stenosis does not exceed 1.5 cm are more likely to get rid of the prosthesis.

Surgical treatment

 

In severe cases, one has to resort to surgical resection of the trachea (its partial removal). Doctors remove the scarred area and form an anastomosis to restore the integrity of the airways.

This is a complex operation that should be performed in a specialized center. The risk of complications is very different in different countries and clinics: from 9 to 45%. Major complications: anastomotic leak and repeated development of stenosis.

To undergo diagnostics, treatment of tracheal stenosis in Germany, and rehabilitation, you are welcome to use the services of the Booking Health company. On the website, you can find out the cost of medical services. You can compare how much is the price for treatment in different clinics in Germany in order to book a medical care program at favorable prices. The specialists of the Booking Health company will help you choose the most suitable clinic and organize your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

MedlinePlus

Sience Direct

The Lancet




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