Dr. Ameen, ENT Specialist in Kuala Lumpur

Compassionate Care for Your Ear, Nose & Throat

Ear, Nose & Throat Specialist (Adult & Paediatric)
Pakar Hidung, Telinga & Tekak (Dewasa & Kanak2)


🎓Qualifications
🩺MB BCh BAO Hons (Ireland🍀)
🔪Master (DrP) in Otorhinolaryngology (ENT👂👃👄), Head & Neck Surgery (UKM, Malaysia🌺)


Email: drameenpakarent@protonmail.com

Pediatric Subglottic/Tracheal Stenosis Treatment Using Balloon Dilatation
TRACOE Aeris balloon dilatation catheter

Balloon dilation (BD) was first introduced as a treatment option in 1984 for tracheal and bronchial stenoses. This procedure is suitable when the cartilaginous framework of the airway remains intact. Utilizing direct endoscopic guidance, a balloon is employed to exert radial pressure on the narrowed airway, aiming to minimize the likelihood of mucosal damage and subsequent restenosis.

Today, I will discuss a case involving a patient with grade 3 subglottic stenosis. This individual has a medical history that includes hemolymphatic malformation in the anterior chest wall and a mediastinal mass. Furthermore, previous attempts at extubation have been unsuccessful, resulting in the need for a tracheostomy, and multiple dilatation procedures have been performed to manage the subglottic stenosis.

Now, let’s delve into the details of the procedure:

Tracheostomy tube changed to a cuffed ones
Patient position pre direct laryngoscopy procedure
Protecting the lips and teeth from injury is paramount
Parsons laryngoscope application
Scope is stabilised with a rod
Sizing of the stenosis using ETT
Kenocort injection prepared and primed, butterfly needle 23G used
Injection in progress
Injection done at the stenotic part
Balloon catheter prepared
Balloon inserted and held in place to avoid watermelon seeding phenomenon
10ATM pressure applied for 2 minutes
Post dilatation view – dilatation repeated 3 times
100% success 😁
Pre assessment 62% obstruction
Post procedure sizing – stenosis improved to grade 1

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I’m Dr Ameen, an ENT specialist based in Kuala Lumpur, Malaysia

I am passionate about helping people breathe, hear, and live better. After years of experience at Hospital Kuala Lumpur and Tunku Azizah Women and Children Hospital, I now provide specialised care at Sunway Medical Centre Velocity, Columbia Hospital Setapak, and Klinik ANDA Wangsa Melawati. Through this page, I share simple, reliable tips and insights to help you understand and manage common ear, nose, and throat conditions with confidence.

MY CLINIC HOURS:

  • TUESDAY – 8pm to 10pm (Klinik ANDA Wangsa Melawati)
  • FRIDAY – 9am to 5pm (Sunway Medical Centre Velocity)
  • FRIDAY – 5pm to 8pm (Columbia Asia Hospital Setapak)
  • SATURDAY – 9am to 1pm (Sunway Medical Centre Velocity)
Book your appointment to see me at Sunway Medical Centre Velocity by clicking HERE
Book your appointment to see me at Columbia Hospital Setapak by clicking HERE