Preparation for Balloon Dilation of Subglottic Stenosis

Video demonstrating balloon dilation in a case: https://bostonscientific.showpad.com/share/HKu8Y3U1aQQOILZdEKysF

This video shows how to set up the inflation device: Set-up and Use of the CRE™ SteriFlate Inflation Device

Workup:

History of intubation

ANCA screen (includes c-ANCA and p-ANCA) blood test

Consider PFTs

Consider CT chest

Supplies to order:

Boston Scientific CRE Balloon Sizes. I usually use Order number M00550350

Boston Scientific CRE Steriflate Disposable Inflation Device

Boston Scientific rep, as of 10/2025: Selena Condeni, Selena.Condeni@bsci.com, C: 440.409.3886

Materials Manager at BroMenn: Sheila Munson, sheila.munson@carle.com, (o) 309-363-5368, (m) 309-668-0513

Anesthesia:

Pt to see anesthesia pre-op

Anesthesia to have LMA and size 4 and size 5 microlaryngeal endotracheal tubes

Mitomycin C:

Discussion of risks, including possible cancer.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6946955/

Tracheostomy:

Discussion of possible tracheostomy