Benign Tracheal and Bronchial Stenosis

Díaz-Jiménez, José Pablo; Lisbona, Rosa Maria Lopez

doi:10.1007/978-1-4614-6009-1_11

Cited by 3 publications

(2 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[ 1 2 ] BBD has been accepted as a safe and efficient strategy and is recommended as a first-line treatment in the management of benign tracheobronchial obstruction. [ 3 4 ] However, dilatation of tracheal stenosis with BBD requires complete blocking of the airflow for as long as possible, and weak patients must endure hypoxia for relatively long periods of time. Additionally, most patients cannot hold their breath for a long period affecting the efficacy of BBD.…”

Section: Introductionmentioning

confidence: 99%

Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation

Liu

Zheng

et al. 2015

Chinese Medical Journal

View full text Add to dashboard Cite

Background:A limitation of bronchoscopic balloon dilatation (BBD) is that airflow must be completely blocked for as long as possible during the operation. However, the patient often cannot hold his or her breath for a long period affecting the efficacy of the procedure. In this study, we used an extra-small-diameter tube to provide assisted ventilation to patients undergoing BBD and assessed the efficacy and safety of this technique.Methods:Bronchoscopic balloon dilatation was performed in 26 patients with benign tracheal stenosis using an extra-small-diameter tube. The tracheal diameter, dyspnea index, blood gas analysis results, and complications were evaluated before and after BBD. Statistical analyses were performed by SPSS version 16.0 for Windows (SPSS, Inc., Chicago, IL, USA).Results:Sixty-three BBD procedures were performed in 26 patients. Dyspnea immediately improved in all patients after BBD. The tracheal diameter significantly increased from 5.5 ± 1.5 mm to 13.0 ± 1.3 mm (P < 0.001), and the dyspnea index significantly decreased from 3.4 ± 0.8 to 0.5 ± 0.6 (P < 0.001). There was no significant change in the partial pressure of oxygen during the operation (before, 102.5 ± 27.5 mmHg; during, 96.9 ± 30.4 mmHg; and after, 97.2 ± 21.5 mmHg; P = 0.364), but there was slight temporary retention of carbon dioxide during the operation (before, 43.5 ± 4.2 mmHg; during, 49.4 ± 6.8 mmHg; and after, 40.1 ± 3.9 mmHg; P < 0.001).Conclusion:Small-diameter tube-assisted BBD is an effective and safe method for the management of benign tracheal stenosis.

show abstract

Section: Introductionmentioning

confidence: 99%

Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation

Liu

Zheng

et al. 2015

Chinese Medical Journal

View full text Add to dashboard Cite

show abstract

“…Причинами их возникновения являются длительная искусственная вентиляция легких, выполненная с нарушениями, последствия трахеостомии. Из-за повреждения стенки трахеи возникает хондроперихондрит, который приводит к формированию рубцовых изменений ее стенки и стенозу [1][2][3][4].…”

unclassified

Immediate and long-term results of endoscopic treatment of cicatrical tracheal stenosis

Drobyazgin¹,

Судовых²,

Chikinev³

2017

Endosk. khir.

View full text Add to dashboard Cite

show abstract

Not only acute respiratory failure: COVID-19 and the post-intubation/tracheostomy upper airways lesions†

et al. 2023

View full text Add to dashboard Cite

BackgroundAn increasing number of patients have been subjected to prolonged invasive mechanical ventilation due to COVID-19 infection, leading to a significant number of post-intubation/tracheostomy (PI/T) upper airways lesions. The purpose of this study is to report our early experience in endoscopic and/or surgical management of PI/T upper airways injuries of patients surviving COVID-19 critical illness.Materials and MethodsWe prospectively collected data from patients referred to our Thoracic Surgery Unit from March 2020 to February 2022. All patients with suspected or documented PI/T tracheal injuries were evaluated with neck and chest computed tomography and bronchoscopy.ResultsThirteen patients (8 males, 5 females) were included; of these, 10 (76.9%) patients presented with tracheal/laryngotracheal stenosis, 2 (15.4%) with tracheoesophageal fistula (TEF) and 1 (7.7%) with concomitant TEF and stenosis. Age ranged from 37 to 76 years. Three patients with TEF underwent surgical repair by double layer suture of oesophageal defect associated with tracheal resection/anastomosis (1 case) or direct membranous tracheal wall suture (2 cases) and protective tracheostomy with T-tube insertion. One patient underwent redo-surgery after primary failure of oesophageal repair. Among 10 patients with stenosis, two (20.0%) underwent primary laryngotracheal resection/anastomosis, two (20.0%) had undergone multiple endoscopic interventions before referral to our Centre and, at arrival, one underwent emergency tracheostomy and T-tube positioning and one a removal of a previously positioned endotracheal nitinol stent for stenosis/granulation followed by initial laser dilatation and, finally, tracheal resection/anastomosis. Six (60.0%) patients were initially treated with rigid bronchoscopy procedures (laser and/or dilatation). Post-treatment relapse was experienced in 5 (50.0%) cases, requiring repeated rigid bronchoscopy procedures in 1 (10.0%) for definitive resolution of the stenosis and surgery (tracheal resection/anastomosis) in 4 (40.0%).ConclusionsEndoscopic and surgical treatment is curative in the majority of patients and should always be considered in PI/T upper airways lesions after COVID-19 illness.

show abstract

Benign Tracheal and Bronchial Stenosis

Cited by 3 publications

References 61 publications

Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation

Management of Benign Tracheal Stenosis by Small-diameter Tube-assisted Bronchoscopic Balloon Dilatation

Immediate and long-term results of endoscopic treatment of cicatrical tracheal stenosis

Not only acute respiratory failure: COVID-19 and the post-intubation/tracheostomy upper airways lesions†

Contact Info

Product

Resources

About