External tracheal stabilization technique for acquired tracheomalacia using a tailored silicone tube

Ann Thorac Surg. 2012 Oct;94(4):1356-8. doi: 10.1016/j.athoracsur.2012.04.133.


Here, we describe an external tracheal stabilization technique used in a patient with tracheomalacia. A 56-year-old man presented with tracheomalacia due to prolonged mechanical ventilation. The malacic tracheal segment was approximately 2 cm in length. The malacic segment was covered with a silicone tube sutured in place using Prolene sutures (Ethicon, Somerville, NJ). Several anchoring sutures were placed between the tracheal mucosa and the silicone tube without violating the mucosal continuity. The patient was discharged on postoperative day 5 without complication. This method of external tracheal stabilization is a less invasive alternative for the management of this particular patient.

Publication types

  • Case Reports

MeSH terms

  • Equipment Design
  • Humans
  • Male
  • Middle Aged
  • Silicone Elastomers*
  • Stents*
  • Thoracic Surgical Procedures / methods*
  • Trachea / surgery*
  • Tracheomalacia / diagnosis
  • Tracheomalacia / surgery*


  • Silicone Elastomers