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Tuberculosis & Respiratory Diseases

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Vol.59 No.1
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Clinical Experience of Silicone Airway Stent in the Management of Benign Tracheobronchial Stenosis

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2005, v.59 no.1, pp.8-68







& (2005). Clinical Experience of Silicone Airway Stent in the Management of Benign Tracheobronchial Stenosis. Tuberculosis & Respiratory Diseases, 59(1), 8-68.
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Abstract

Background : The clinical results of a Natural stent in patients with a benign tracheobronchial stenosis were examined by comparing the clinical outcomes and complications of those patients who underwent Dumon and Natural stenting in the management of benign airway stenosis. Methods : The medical records of 94 patients (39 Dumon and 55 Natural stent) with a benign tracheobronchial stenosis were reviewed and analyzed. Results : Post-tuberculous stenosis was the leading indication for airway stenting (74%), which was followed by post-intubation stenosis (21%). After intervention, the dyspnea had improved among those patients who underwent Dumon (90%) and Natural (86%) stenting. After stabilizing the dyspnea, the stent could be successfully removed in half of the patients who underwent both Dumon (54%) and Natural (49%) stenting. During the 42 month follow-up period, the complication rate was similar in those patients who underwent Dumon and Natural stenting: migration (46% vs 53%), granulation tissue formation (36% vs 49%), mucostasis (21% vs 16%) and restenosis (51% vs 36%). Conclusion : The clinical results of Natural airway stent was similar to those of Dumon stent in the management of benign tracheobronchial stenosis. (Tuberc Respir Dis 2005; 59: 62-68)

keywords
Bronchoscopy, Tuberculosis, Airway obstruction, Tracheal stenosis, Bronchoscopy, Tuberculosis, Airway obstruction, Tracheal stenosis

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