Bronchoscopic dilatation in the management of benign (non‐transplant) tracheobronchial stenosis

Chhajed, Prashant N.; Malouf, M.A.; Glanville, Allan R.

doi:10.1046/j.1445-5994.2001.00135.x

Cited by 39 publications

(41 citation statements)

References 31 publications

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“…Carbon dioxide surgical laser showed to be of value 27 . Tracheobronchial stenosis could be managed by bronchoscopic dilatation 13 . Severe acute respiratory failure could require emergency tracheostomy, close observation and oral or intravenous corticosteroids 4,38 .…”

Section: Discussionmentioning

confidence: 99%

Rhinoscleroma: eight Peruvian cases

Maguiña¹,

Cortez-Escalante

Osores-Plenge³

et al. 2006

Rev. Inst. Med. trop. S. Paulo

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Rhinoscleroma is a rare infection in developed countries; although, it is reported with some frequency in poorer regions such as Central Africa, Central and South America, Eastern and Central Europe, Middle East, India and Indonesia. Nowadays, rhinoscleroma may be erroneously diagnosed as mucocutaneos leishmaniasis, leprosy, paracoccidioidomycosis, rhinosporidiasis, late syphilis, neoplasic diseases or other upper airway diseases. From 1996 to 2003, we diagnosed rhinoscleroma in eight patients attended in the Dermatologic and Transmitted Diseases service of "Cayetano Heredia" National Hospital, in Lima, Peru. The patients presented airway structural alterations producing nasopharyngeal, oropharyngeal and, in one patient, laryngeal stenosis. Biopsy samples revealed large vacuolated macrophages (Mikulicz cells) in all patients. Ciprofloxacin 500 mg bid for four to 12 weeks was used in seven patients and oxytetracycline 500 mg qid for six weeks in one patient. After follow-up for six to 12 months the patients did not show active infection or relapse, however, all of them presented some degree of upper airway stenosis. These cases are reported because of the difficulty diagnosing the disease and the success of antibiotic treatment.

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Section: Discussionmentioning

confidence: 99%

Rhinoscleroma: eight Peruvian cases

Maguiña¹,

Cortez-Escalante

Osores-Plenge³

et al. 2006

Rev. Inst. Med. trop. S. Paulo

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“…Necrotic lesions frequently heal spontaneously, with surgical repair rarely being required. In symptomatic obstructive lesions, suggested interventional techniques include balloon dilatation [4] and desobliteration, e.g. laser application, argon plasma coagulation [5], brachytherapy [6] and stent insertion [7].…”

mentioning

confidence: 99%

Are metallic stents really safe? A long-term analysis in lung transplant recipients

Gottlieb¹,

Fuehner²,

Dierich³

et al. 2009

Eur Respir J

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Airway complications affect 20% of all lung transplant recipients. Self-expandable metallic stents (SEMS) are one treatment option but their use in benign airway disorders is controversial. We studies the long-term safety of SEMS in lung transplant recipients.Between January 1998 and February 2008, all lung transplant recipients with SEMS were analysed retrospectively at a single centre. Complications were recorded until September 2008. In 65 (9.2%) out of 706 recipients, 111 (91% noncovered) bronchial SEMS were implanted a median (range) 133 (55-903) days after lung transplantation; follow-up was 777 (7-3.655) days. Clinical improvement was noted in 80% of recipients. The forced expiratory volume in 1 s increased by (mean¡SD) 21¡33%.Most frequent early complications were migration (3%) and mucus plugging (11%). No procedure-related deaths were noted. Re-stenosis occurred in 34 (52%) out of 65 recipients 85 (7-629) days after insertion. In multivariate analysis, stent insertion before post-operative day 90 was independently associated with an increased risk of re-stenosis (HR 3.29, 95% CI 1.50-7.18; p50.003). In 40% of recipients, new bacterial airway colonisation occurred after SEMS insertion. In SEMS patients, 5-yr survival was significantly lower than in the total cohort (60% versus 76%; p50.02).Late complications in lung transplant recipients treated with SEMS are frequent. The major problems are re-stenosis and airway colonisation.

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“…В отличие от стентов, бужирование и БД не вызывают развития грануляций, но широкий просвет стриктуры крайне нестойкий, что вынуждает постоянно повторять эти вмешательства. Именно поэтому в настоящее время они не рассматриваются в качестве самостоятельно-го метода лечения РСТ [3,7,12].…”

Section: результатыunclassified

“…БД бронхов при их рубцовом сужении различно-го генеза как метод окончательного лечения эффек-тивна у 50% больных [12]. По данным проведенного исследования, применение комплексного эндоско-пического лечения больных с формирующимися РСБ, включающего БД, ЛФС, санацию бронхов ан-тисептическим раствором, позволяет во всех случа-ях получить положительный клинический эффект.…”

Section: результатыunclassified

Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

Пинчук¹,

Yasnogorodskiy²,

Guryanov³

et al. 2016

Endosk. khir.

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Кафедра факультетской хирургии №2 лечебного факультета ФБГу «Клиническая больница» рФ, москва, россия; ГБоу вПо «Первый мГму им. и.м. Сеченова» минздрава россии, москва, россия Ключевые слова: бронхоскопия, трахея, бронхи, рубцовое сужение.Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

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Bronchoscopic dilatation in the management of benign (non‐transplant) tracheobronchial stenosis

Abstract: Bronchoscopic dilatation is a safe and effective modality in the initial assessment and management of benign tracheobronchial stenosis. Stent placement and Nd:YAG laser therapy complement a dilatation procedure in the combined bronchoscopic treatment of benign tracheobronchial stenosis.

Cited by 39 publications

References 31 publications

Rhinoscleroma: eight Peruvian cases

Rhinoscleroma: eight Peruvian cases

Are metallic stents really safe? A long-term analysis in lung transplant recipients

Balloon dilation in endoscopic treatment of patients with scar narrowing of the trachea and bronchi

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