Endoscopic balloon dilation for subglottic or tracheal stenosis

For babies, children, and young people, evidence on the efficacy of the procedure is adequate to support using it, provided that standard arrangements are in place for clinical governance, consent and audit. Find out what standard arrangements mean on the NICE interventional procedures guidance page.

For adults, evidence on the efficacy of the procedure is limited. So, it should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

Inform the clinical governance leads in their healthcare organisation.

Give patients (and their families and carers as appropriate) clear written information to support shared decision making, including NICE's information for the public.

Ensure that patients (and their families and carers as appropriate) understand the procedure's safety and efficacy, and any uncertainties about these.

Audit and review clinical outcomes of all patients having the procedure. The main efficacy and safety outcomes identified in this guidance can be entered into NICE's interventional procedure outcomes audit tool (for use at local discretion).

Discuss the outcomes of the procedure during their annual appraisal to reflect, learn and improve.

Ensure systems are in place that support clinicians to collect and report data on outcomes and safety for every patient having this procedure.

Regularly review data on outcomes and safety for this procedure.