Bronchoscopic Balloon Dilation (BBD) for Benign Tracheobronchial Stenosis

Tanahashi, Masayuki; Niwa, Hiroshi; Yukiue, Haruhiro; Suzuki, Eriko; Haneda, Hiroshi; Yoshii, Naoko; Kani, Hisanori

doi:10.5772/30896

Cited by 1 publication

(1 citation statement)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tracheal stenosis (TS) is the narrowing of the trachea, which interferes normal breathing. Symptoms of tracheal stenosis vary from very mild to severe; this stenosis can cause dyspnea, wheeze, cough, stridor, or recurrent respiratory tract infections; however, the condition could be well treated [1,2].…”

Section: Introductionmentioning

confidence: 99%

Balloon tracheoplasty for tracheal stenosis after prolonged intubation: a simple procedure, but is it effective?

et al. 2021

View full text Add to dashboard Cite

Background Tracheal stenosis following prolonged intubation is a relatively rare but serious problem. This condition is usually managed by surgical or endoscopic interventions. Bronchoscopic balloon dilatation for tracheal stenosis is considered a valuable tool used for the management of tracheal stenosis. In this article, we try to evaluate the role of balloon tracheoplasty in the management of tracheal stenosis and to assess the number of dilatation sessions usually needed as well as the short to midterm outcome. Results This study involved 40 patients with tracheal stenosis diagnosed by computed tomography (neck and chest) and bronchoscopy at the Security Force Hospital in Riyadh, KSA, between January 2013 and August 2018. Patients’ data were retrospectively reviewed and analyzed. Patients’ age ranged between 18 and 60 years. Thirty patients were males (75%); those patients underwent balloon tracheoplasty via dilatation of areas of narrowing using catheter balloon insufflation guided by fiber-optic bronchoscope. Ninety-five percent of the patients had initial success with acceptable dilatation of the stenotic area and improvement of the symptoms. There were no technical or major problems which resulted from the procedure, and no patient complained of severe pain or severe discomfort after the procedure. From the total of 81 BBD sessions, no in-hospital mortality is related to the procedure itself, and ICU stay ranged between 1 and 5 days post-procedure. Among those 40 patients, 16 patients (40%) needed one session, 10 patients (25%) needed two sessions, 8 patients (20%) needed three sessions, and 6 patients (15%) needed more than three sessions of balloon dilatation. Conclusion Balloon tracheoplasty is a simple, safe method and could be a promising and effective approach that offers immediate symptomatic relief for tracheal stenosis in cases with a history of prolonged intubation. It is worth mentioning that BBD is considered as a temporary measure, and most of the cases will need definitive or additional treatment either resection or stent placement.

show abstract

Section: Introductionmentioning

confidence: 99%