Tuberculous tracheal stenosis.

Arai, Takashi; Inagaki, K; Morita, Takatomo; Yano, Makoto; Miyazawa, Hideki; Takayama, Toshimasa; Nonaka, Makato; Niino, Hitoshi

doi:10.2468/jbes.41.367

Cited by 1 publication

(2 citation statements)

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“…However, Arai et al [19] and Hashizume et al [20] each reported a successful case of T-tube implantation with good long-term results. The surgical indications for tuberculous bronchial stenosis are still controversial.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Bronchial Stricture Due to Endobronchial Tuberculosis

et al. 1997

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Between 1974 and 1995 we encountered 19 cases of bronchial stricture or obliteration caused by endobronchial tuberculous lesions. In 11 the involvements were located at the right bronchus (including involvements of segmental and middle lobe bronchi) and in 8 at the left bronchus. On bronchoscopic biopsy of the stenosed bronchus, 7 patients showed histopathologic findings of tuberculous bronchitis, but 12 patients showed nonspecific inflammatory granular tissue. Five patients were kept under conservative observation because of mild subjective symptoms or refusal to undergo operation. Two patients underwent stent procedures but had poor outcomes. Twelve patients underwent operation. As the bronchial lesions in four of them were confined to the lobar or segmental bronchus, lobectomy was performed. One patient with a history of infantile tuberculosis had developed complete obliteration of the left main bronchus and cystic bronchiectasis in the entire lung parenchyma; pneumonectomy was essential. Seven patients who had strictures involving the main bronchus underwent bronchoplastic surgery with right (n = 4) or left (n = 3) upper sleeve lobectomy. None of the patients treated surgically showed any postoperative complication or recurrence of the tuberculosis. These surgical results for endobronchial tuberculosis indicate the need for early detection and operation. Bronchoscopy and computed tomography are the methods of choice for accurate diagnosis of bronchial involvement and assessment of the surgical indications. It is emphasized that bronchoplastic surgery is the best treatment for bronchial stricture involving bilateral main bronchi.

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Section: Discussionmentioning

confidence: 99%

“…The stent implantations in our two patients with strictures involving the trachea and main bronchus were as effective. However, Arai et al [19] and Hashizume et al [20] each reported a successful case of T-tube implantation with good long-term results. The surgical indications for tuberculous bronchial stenosis are still controversial.…”

Section: Discussionmentioning

confidence: 99%