Tracheal Stenosis after Tracheostomy Treated Successfully with Papillotome Electrocautery
نویسندگان
چکیده
A 39-year-old woman presented with symptoms of dyspnea. Ten years previously, she had received a tracheostomy because of the decision to not continue taking an anticonvulsant drug. Presently, chest computed tomography showed diffuse stenosis and focal web at the cervical trachea. We performed bronchoscopy and found a two-thirds reduction of the upper trachea due to the web-like fibrotic stenosis. Papillotome electrocautery removed the stenotic lesion. Endobronchial electrocautery is a valuable tool with potential for therapy of an endobronchial obstructing airway lesion. We report this case to introduce the successful treatment with papillotome electrocautery.
منابع مشابه
Diagnosis of idiopathic tracheal stenosis and treatment with papillotome electrocautery and balloon bronchoplasty.
Tracheal stenosis has numerous possible etiologies, including iatrogenic trauma from an over-inflated endotracheal/tracheostomy tube cuff, malignancy, chronic inflammatory diseases (eg, sarcoidosis), and various collagen vascular diseases (eg, Wegener disease, relapsing polychondritis). If an underlying etiology cannot be identified, the condition is termed idiopathic tracheal stenosis. First r...
متن کاملTracheal T-Tube Stent for Laryngotracheal Stenosis: Ten Year Experience
Introduction: The purpose of this retrospective study was to evaluate the outcome following stenting over a period of 10 years in patients with chronic laryngotracheal stenosis. Materials and Methods: Between 2000–2010, out of 111 patients with laryngotracheal trauma, 71 underwent tracheal T-stenting for laryngotracheal stenosis in the Department of Otorhinolaryngology at the Governmen...
متن کاملSurgical treatment for patients with tracheal and subgllotic stenosis
Abstract Background: Iatrogenic airway injury after endotracheal intubation and tracheotomy remains a serious clinical problem. In this study we reviewed post-intubation and traumatic tracheal stenosis in 47 patients with a special attention to the cause, hense surgical treatment of the stenosis was performed and the results compared with the literatures. Methods: Since February 1995 th...
متن کاملگزارش یک مورد(آناستوموز لارنگوتراکئال) در بیمار مبتلا به تنگی راه هوایی فوقانی به علت انتوباسیون طولانی مدتLaryngotracheal Anastomosis in a Patient with Upper Airway Stenosis Due to Prolonged Intubation: A Case Report
The most common cause of airway stenosis is prolonged intubation. Postintubation stenosis may be a delayed onset and may progress gradually. Endoscopic assessment and deciding to do a tracheostomy after 7 days is advised in adults. Segmented resection and primary anastomosis is the most effective modality of treatment for complete or near-complete tracheal stenosis. Surgeon’s ability for re...
متن کاملConcentric tracheal and subglottic stenosis. Management using the Nd-YAG laser for mucosal sparing followed by gentle dilatation.
Treatment of tracheal stenosis varies with the type and extent of the disease. Tracheostomy with stents, end-to-end anastomosis, or extensive reconstructive procedures often is required, especially when tracheomalacia is present. High recurrence rate is associated with relatively less invasive endotracheal treatments, such as bougie dilatation or total laser ablation. Mucosal sparing technique ...
متن کامل