Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

Ernst, Armin; Majid, Adnan; Feller‐Kopman, David; Guerrero, Jorge; Boiselle, Phillip M.; Loring, Stephen H.; O’Donnell, Carl R.; DeCamp, Malcolm M.; Herth, Felix J.F.; Gangadharan, Sidhu P.; Ashiku, Simon

doi:10.1378/chest.06-2708

Cited by 208 publications

(193 citation statements)

References 22 publications

Supporting

Mentioning

185

Contrasting

Unclassified

Order By: Relevance

“…Clinical manifestations can range from mild dyspnea, chronic cough, and wheezing to more serious airway events, such as stridor, airway compromise, and eventual respiratory failure. 90 Management of tracheomalacia includes tracheotomy to bypass the malacic site, 91 intraluminal stenting, 90 external stabilization with stenting, 92 and surgical resection of the malacic segment with end-to-end anastomosis.…”

Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

View full text Add to dashboard Cite

Although endotracheal intubation is commonly performed in the hospital setting, it is not without risk. In this article, we review the impact of endotracheal intubation on airway injury by describing the acute and long-term sequelae of each of the most commonly injured anatomic sites along the respiratory tract, including the nasal cavity, oral cavity, oropharynx, larynx, and trachea. Injuries covered include nasoseptal injury, tongue injury, dental injury, mucosal lacerations, vocal cord immobility, and laryngotracheal stenosis, as well as tracheomalacia, tracheoinnominate, and tracheoesophageal fistulas. We discuss the proposed mechanisms of tissue damage that relate to each and present their most common clinical manifestations, along with their respective diagnostic and management options. This article also includes a review of complications of airway management pertaining to video laryngoscopy and supraglottic airway devices. Finally, potential strategies to prevent intubation-associated injuries are outlined.

show abstract

Section: Larynxmentioning

confidence: 99%

Complications of Airway ManagementDiscussion

Pacheco-Lopez¹,

Berkow

Hillel³

et al. 2014

Respir Care

View full text Add to dashboard Cite

show abstract

“…While >50% reduction of cross-sectional area on CT and bronchoscopy has been used as threshold for diagnosis, no clear indications for surgical intervention exist [14,15]. Tracheobronchoplasty remains the long-term treatment of choice and has been shown to improve symptoms [16].…”

Section: Discussionmentioning

confidence: 99%

Recurrent dyspnea and wheezing- pulmonary function test and dynamic computed tomography may unfold the diagnosis of tracheobronchomalacia

Roy

Kerolus

2017

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Tracheomalacia patients often present with nonspecific symptoms like cough, wheezing and dyspnea. Tracheomalacia diagnosis is usually attributed to alternative common conditions such as asthma or chronic obstructive lung disease. Certain maneuvers, like forced expiration, or recumbent position may elicit subtle signs of tracheomalacia. Ordering novel pulmonary function testing in sitting upright and supine positions may provide additional clues to suspect tracheomalacia, which can be confirmed by either dynamic chest tomography or bronchoscopy.

show abstract

“…The incidence of the disease has rapidly increased with the increased tracheomalacia awareness (8). While the asymptomatic cases can be followed without treatment, surgical techniques such as tracheal stents, tracheostomy tube implantation and external stabilization techniques can be used in certain cases with severe airway collapse (8)(9)(10)(11). Previous publications have reported continuous positive airway pressure (CPAP) as the preferred method in treatment for tracheomalacia (8).…”

Section: Discussionmentioning

confidence: 99%

Two cases with tracheomalacia

Arısoy¹,

Yıldız²,

Bilgin³

et al. 2016

Respir Case Rep

View full text Add to dashboard Cite

Tracheomalacia is a difficult to manage condition. The symptoms are similar to those of COPD and asthma patients. This may cause misdiagnosis. Herein, we present two tracheomalacia cases who received no benefit from inhaled treatment. The patients were examined via computed tomography (CT), bronchoscopy, and polysomnography. The first case was a 83-year-old male having a 50 package-year smoking history. He applied to the hospital due to coughing and followed for COPD. Obstructive sleep apnea was detected via polysomnography. Despite increased positive pressure, the apneas did not heal. On CT, tracheal flattening and tracheal ring and cartilages deterioration were detected. The patient had no sleep apnea one year after stenting. The second case was a 66-year-old male having inhaled treatment for five years for chronic coughing. In bronchoscopy, anterior and posterior parts of trachea were seen to cleave into each other in expiration. Since his tracheomalacia was not life-threatening, he has taken under follow-up. Key words: Apnea, cough, tracheomalacia, sleep.Tracheomalacia in adults is a severe disease which is very difficult to manage and treat. It causes frequent infections and mortality. Although there are no standardized techniques or criteria for the diagnosis of tracheomalacia, previously published articles recommend thoracic CT and bronchoscopy (1-3). The treatment approach is complex. There is no requirement in the treatment of mild asymptoTrakeomalazi yönetimi zor olan ciddi bir hastalıktır. Bu hastaların muayene bulguları KOAH ve astım hastalarına benzerdir. Bu nedenle tanıda yanılmaya sebep olabilir. Bu çalışmada, inhaler tedavilerden fayda görmeyen iki trakeomalazi olgusunu sunmayı amaçladık. Hastalar bilgisayarlı tomografi, bronkoskopi ve polisomnografi ile değerlendirildi. Birinci olgu 83 yaşında erkek hasta idi. Elli paket-yıl sigara anamnezi vardı. Hasta öksürük şikâyeti nedeni ile hastanelere başvurmuş ve 10 yıldır KOAH tanısıyla takip edilmişti. Polisomnografi ile uykuda obstrüktif apneleri tespit edildi. Arttırılan pozitif basınca rağmen apneleri düzelmedi. Bilgisayarlı tomografi ile trakeada yassılaşma, trakeal halka ve kıkırdaklarda bozulma tespit edildi. Trakeal stent takılan hastanın birinci yılın sonunda uyku apnesi yoktu. İkinci olgu beş yıl boyunca kronik öksürük nedeniyle farklı inhaler tedaviler verilen 66 yaşında bir erkek hastaydı. Hastanın öksürüğü sert ve gürültülü idi ve uyku apnesi yoktu. Bronkoskopide expiryumda trakeanın ön ve arka duvarının birbirine yapıştığı görüldü. Trakeomalazisi hayatı tehdit etmediğinden takibe alındı.Anahtar Sözcükler: Apne, trakeomalazi, öksürük, uyku. matic cases. The history for determining the etiology, physical analysis, radiological, and bronchoscopic examination are of utmost importance for the treatment (4). In this article, we evaluated the symptoms, diagnostic methods, and treatments of two patients who were admitted to our clinic for chronic cough and were diagnosed through computed tomography (CT) and bronchoscopy.

show abstract

Airway Stabilization With Silicone Stents for Treating Adult Tracheobronchomalacia

Cited by 208 publications

References 22 publications

Complications of Airway ManagementDiscussion

Complications of Airway ManagementDiscussion

Recurrent dyspnea and wheezing- pulmonary function test and dynamic computed tomography may unfold the diagnosis of tracheobronchomalacia

Two cases with tracheomalacia

Contact Info

Product

Resources

About