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Portuguese Journal of Cardiac Thoracic... Apr 2022Videobronchofibroscopy of a Chinese 74-year-old woman showing abundant whitish plaques in the vocal cords with antraconic lesions extending throughout the tracheal...
Videobronchofibroscopy of a Chinese 74-year-old woman showing abundant whitish plaques in the vocal cords with antraconic lesions extending throughout the tracheal pathway and bronchial trees, predominantly in the upper left lobe, compatible with Endobronchial My- cobacterium tuberculosis. The evolution and prognosis varies, from complete resolution to severe endobronchial stenosis.
Topics: Aged; Bronchial Diseases; Constriction, Pathologic; Female; Humans; Trachea; Tuberculosis; Tuberculosis, Pulmonary
PubMed: 35471210
DOI: 10.48729/pjctvs.150 -
Revista Da Sociedade Brasileira de... 2023
Topics: Humans; Paracoccidioidomycosis; Constriction, Pathologic
PubMed: 37792840
DOI: 10.1590/0037-8682-0343-2023 -
American Journal of Respiratory and... Feb 2013
Topics: Airway Obstruction; Bronchial Diseases; Bronchography; Constriction, Pathologic; Female; Humans; Middle Aged; Trachea
PubMed: 23378438
DOI: 10.1164/rccm.201206-1023IM -
American Review of Tuberculosis Jul 1950
Topics: Airway Obstruction; Bronchi; Bronchial Diseases; Constriction, Pathologic; Humans
PubMed: 15425830
DOI: 10.1164/art.1950.62.1-2.80 -
The Annals of Thoracic Surgery Apr 2022A 66-year-old man with primary lung cancer underwent 4-port thoracoscopic right lower lobectomy. One month postoperatively, he was diagnosed with obstructive pneumonia...
A 66-year-old man with primary lung cancer underwent 4-port thoracoscopic right lower lobectomy. One month postoperatively, he was diagnosed with obstructive pneumonia and bronchial stenosis of the middle lobe. Due to recurrent obstructive pneumonia, the covered self-expanding stent was placed in the middle lobar bronchus. One month later, the stent was obstructed. Six months after the initial surgery, thoracoscopic completion bilobectomy was performed; the postoperative course was uneventful. Seven years after the initial surgery, he had no recurrence. This lobectomy approach is an option for bronchial stenosis.
Topics: Aged; Bronchi; Bronchial Diseases; Constriction, Pathologic; Humans; Lung Neoplasms; Male; Pneumonectomy
PubMed: 34237294
DOI: 10.1016/j.athoracsur.2021.05.095 -
Seminars in Pediatric Surgery Jun 2016Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes... (Review)
Review
Congenital tracheobronchial stenosis is a rare disease characterized by complete tracheal rings that can affect variable lengths of the tracheobronchial tree. It causes high levels of morbidity and mortality both due to the stenosis itself and to the high incidence of other associated congenital malformations. Successful management of this complex condition requires a highly individualized approach delivered by an experienced multidisciplinary team, which is best delivered within centralized units with the necessary diverse expertise. In such settings, surgical correction by slide tracheoplasty has become increasingly successful over the past 2 decades such that long-term survival now exceeds 88%, with normalization of quality of life scores for patients with non-syndrome-associated congenital tracheal stenosis. Careful assessment and planning of treatment strategies is of paramount importance for both successful management and the provision of patients and carers with accurate and realistic treatment counseling.
Topics: Bronchi; Bronchial Diseases; Bronchoscopy; Constriction, Pathologic; Echocardiography; Humans; Plastic Surgery Procedures; Tomography, Optical Coherence; Tomography, X-Ray Computed; Trachea; Tracheal Stenosis; Treatment Outcome
PubMed: 27301600
DOI: 10.1053/j.sempedsurg.2016.02.007 -
The Annals of Thoracic Surgery Sep 2013Risk factors and outcomes of bronchial stricture after lung transplantation are not well defined. An association between acute rejection and development of stricture has... (Comparative Study)
Comparative Study
BACKGROUND
Risk factors and outcomes of bronchial stricture after lung transplantation are not well defined. An association between acute rejection and development of stricture has been suggested in small case series. We evaluated this relationship using a large national registry.
METHODS
All lung transplantations between April 1994 and December 2008 per the United Network for Organ Sharing (UNOS) database were analyzed. Generalized linear models were used to determine the association between early rejection and development of stricture after adjusting for potential confounders. The association of stricture with postoperative lung function and overall survival was also evaluated.
RESULTS
Nine thousand three hundred thirty-five patients were included for analysis. The incidence of stricture was 11.5% (1,077/9,335), with no significant change in incidence during the study period (P=0.13). Early rejection was associated with a significantly greater incidence of stricture (adjusted odds ratio [AOR], 1.40; 95% confidence interval [CI], 1.22-1.61; p<0.0001). Male sex, restrictive lung disease, and pretransplantation requirement for hospitalization were also associated with stricture. Those who experienced stricture had a lower postoperative peak percent predicted forced expiratory volume at 1 second (FEV1) (median 74% versus 86% for bilateral transplants only; p<0.0001), shorter unadjusted survival (median 6.09 versus 6.82 years; p<0.001) and increased risk of death after adjusting for potential confounders (adjusted hazard ratio 1.13; 95% CI, 1.03-1.23; p=0.007).
CONCLUSIONS
Early rejection is associated with an increased incidence of stricture. Recipients with stricture demonstrate worse postoperative lung function and survival. Prospective studies may be warranted to further assess causality and the potential for coordinated rejection and stricture surveillance strategies to improve postoperative outcomes.
Topics: Acute Disease; Adult; Age Factors; Bronchial Diseases; Cohort Studies; Constriction, Pathologic; Female; Follow-Up Studies; Graft Rejection; Humans; Kaplan-Meier Estimate; Logistic Models; Lung Transplantation; Male; Middle Aged; Multivariate Analysis; Postoperative Complications; Proportional Hazards Models; Registries; Retrospective Studies; Risk Assessment; Sex Factors; Survival Analysis; Treatment Outcome
PubMed: 23870829
DOI: 10.1016/j.athoracsur.2013.01.104 -
Zentralblatt Fur Chirurgie Jun 2023Tracheobronchial stenoses consist of a spectrum of conditions that may result in focal or diffuse narrowing of the trachea or downstream bronchial system. The purpose of... (Review)
Review
Tracheobronchial stenoses consist of a spectrum of conditions that may result in focal or diffuse narrowing of the trachea or downstream bronchial system. The purpose of this paper is to provide an overview of the most commonly encountered conditions in terms of diagnosis and therapeutic options as well as the associated challenges for practitioners.
Topics: Humans; Bronchi; Bronchial Diseases; Bronchoscopy; Constriction, Pathologic; Tomography, X-Ray Computed; Trachea
PubMed: 37267982
DOI: 10.1055/a-1809-1111 -
World Journal of Surgery Jun 1997Between 1974 and 1995 we encountered 19 cases of bronchial stricture or obliteration caused by endobronchial tuberculous lesions. In 11 the involvements were located at... (Clinical Trial)
Clinical Trial
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.
Topics: Adult; Aged; Biopsy; Bronchial Diseases; Bronchoscopy; Constriction, Pathologic; Evaluation Studies as Topic; Female; Humans; Japan; Male; Middle Aged; Postoperative Complications; Prognosis; Survival Rate; Tuberculosis, Pulmonary
PubMed: 9204734
DOI: 10.1007/pl00012273 -
Otolaryngology--head and Neck Surgery :... Feb 2021Congenital airway stenosis secondary to absent tracheal or bronchial rings is a rare congenital anomaly that is difficult to manage both clinically and surgically. This...
OBJECTIVE
Congenital airway stenosis secondary to absent tracheal or bronchial rings is a rare congenital anomaly that is difficult to manage both clinically and surgically. This typically manifests as severe segmental tracheomalacia, and only isolated cases with short-term follow-up have been previously described. We aim to describe a series of children with absent tracheal or bronchial rings who underwent surgical management and had long-term follow-up.
STUDY DESIGN
Case series with chart review.
SETTING
Tertiary care pediatric hospital.
METHODS
Patients with absent tracheal or bronchial rings from 2002 to 2016. Electronic and paper medical records were queried to obtain demographics, age at diagnosis and surgery, pre- and postoperative symptoms, location of absent rings, procedure performed, length of follow-up, and adjunctive procedures performed.
RESULTS
Nine subjects were identified who underwent slide tracheoplasty for correction of congenital absent tracheal or bronchial rings. Age at diagnosis ranged from 10 days to 5 years of age (median, 4 weeks). Age at surgery ranged from 3 weeks to 5 years of age (median, 5 weeks). Six out of 9 subjects were extubated on postoperative day 1. Only 1 subject required additional intervention, which included balloon dilation, tracheobronchial stenting, and aortopexy to alleviate the obstruction. Mean follow-up time was 5.89 years.
CONCLUSIONS
This is the largest series of children with absent tracheal rings who underwent slide tracheoplasty with long-term follow-up presented to date. Slide tracheoplasty is an effective surgical intervention for the treatment of absent tracheal or bronchial rings in infants and young children.
Topics: Bronchi; Bronchial Diseases; Bronchoscopy; Constriction, Pathologic; Female; Follow-Up Studies; Humans; Infant; Infant, Newborn; Male; Plastic Surgery Procedures; Retrospective Studies; Trachea
PubMed: 32838669
DOI: 10.1177/0194599820950725