바로가기메뉴

본문 바로가기 주메뉴 바로가기

Tracheal Stenosis after Tracheostomy Treated Successfully with Papillotome Electrocautery

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2013, v.75 no.2, pp.79-82
Sun Hee Oh (Konyang University College of Medicine)
Seong Ju Lee (Konyang University College of Medicine)
Dae Sung Kim (Konyang University College of Medicine)


(Konyang University Hospital)
Hyun Min Cho (Konyang University Hospital)

  • Downloaded
  • Viewed

Abstract

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.

keywords
Bronchoscopy, Electrocoagulation, Tracheal Stenosis

Reference

1.

Grillo HC, Donahue DM. Post intubation tracheal stenosis. Semin Thorac Cardiovasc Surg 1996;8:370-80.

2.

Wain JC. Postintubation tracheal stenosis. Chest Surg Clin N Am 2003;13:231-46.

3.

Rahman NA, Fruchter O, Shitrit D, Fox BD, Kramer MR. Flexible bronchoscopic management of benign tracheal stenosis: long term follow-up of 115 patients. J Cardiothorac Surg 2010;5:2.

4.

Kim HJ, Kim SW, Lee HY, Kang HH, Kang JY, Kim JS, et al. Clinical experience of rigid bronchoscopy in single center. Tuberc Respir Dis 2012;72:486-92.

5.

Jabbardarjani H, Kiani A, Sheikhi N. Argon plasma coagulation in treatment of post intubation tracheal stenosis. J Lasers Med Sci 2011;2:49-53.

6.

Brichet A, Verkindre C, Dupont J, Carlier ML, Darras J, Wurtz A, et al. Multidisciplinary approach to management of postintubation tracheal stenoses. Eur Respir J 1999;13:888-93.

7.

Seijo LM, Sterman DH. Interventional pulmonology. N Engl J Med 2001;344:740-9.

8.

Bisson A, Bonnette P, el Kadi NB, Leroy M, Colchen A, Personne C, et al. Tracheal sleeve resection for iatrogenic stenoses (subglottic laryngeal and tracheal). J Thorac Cardiovasc Surg 1992;104:882-7.

9.

Hadi U, Hamdan AL. Diagnosis and management of tracheal stenosis. J Med Liban 2004;52:131-5.

10.

Mohan A, Guleria R, Mohan C, Sharma R. Laser bronchoscopy: current status. J Assoc Physicians India 2004;52:915-20.

11.

Toty L, Personne C, Colchen A, Vourc’h G. Bronchoscopic management of tracheal lesions using the neodynium yttrium aluminium garnet laser. Thorax 1981;36:175-8.

12.

Dumon JF, Reboud E, Garbe L, Aucomte F, Meric B. Treatment of tracheobronchial lesions by laser photoresection. Chest 1982;81:278-84.

13.

Boxem T, Muller M, Venmans B, Postmus P, Sutedja T. Nd- YAG laser vs bronchoscopic electrocautery for palliation of symptomatic airway obstruction: a cost-effectiveness study. Chest 1999;116:1108-12.

14.

Sheski FD, Mathur PN. Endoscopic treatment of early-stage lung cancer. Cancer Control 2000;7:35-44.

15.

Ernst A, Silvestri GA, Johnstone D; American College of Chest Phsicians. Interventional pulmonary procedures: guidelines from the American College of Chest Physicians. Chest 2003;123:1693-717.

16.

Coulter TD, Mehta AC. The heat is on: impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection. Chest 2000;118:516-21.

Tuberculosis & Respiratory Diseases