Bronchoplastic procedures for tuberculous bronchial stenosis

Interventional Bronchoscopy in the Management of Airway Stenosis Due to Tracheobronchial Tuberculosis

“…Surgical resection and bronchoplastic reconstruction has long been the standard treatment. 1,2 More recently, a variety of interventional bronchoscopic techniques has been developed, [3][4][5] including stent placement, 6 -8 laser photoresection, 9 argon plasma coagulation (APC), 10 balloon dilatation, 11 cryotherapy 12 and endobronchial ultrasonography (EBUS). 13 The development and refinement of various airway stents and increased experience have broadened the indications for these procedures.…”

Bronchoscopic dilatation in the management of benign (non‐transplant) tracheobronchial stenosis

“…20 Kato et al suggest the use of surgical bronchoplastic procedures for tuberculous bronchostenosis and have reported a 19% rate of restenosis. 12 They also report the use of dilatation as a treatment modality in the management of postoperative restenosis in the same series. In our study, dilatation was primarily effective in two of the three patients with post-tuberculous bronchial stenosis.…”

“…The various surgical and endoscopic approaches available for the management of benign airway stenoses include surgical resection, laser, electrocautery, dilatation and stent placement. 4,[8][9][10][11][12][13] Strictures traditionally have been dilated by antegrade bougienage. This method dilates, but imparts a shearing force to the airway wall.…”

“…Several surgical and endoscopic approaches are available for the management of airway stenoses, including surgical resection, laser, electrocautery, dilatation and stent placement. 4,[8][9][10][11][12][13] Potential problems associated with surgical resection include a failure rate (5%) and formation of granulation tissue (17.6%). 14 Common problems associated with different stent types include migration, granulation tissue formation, mucous plugging and stent fracture.…”

Stenting for Tracheobronchial Stenosis in Tuberculosis

“…Cervical disease can be detected by smear or biopsy. 3,4 Serological diagnosis is by enzyme-linked immunosorbent assay, which is 76% sensitive for S. haematobium 4 but does not become positive for 6-12 weeks after initial infection. A new technique seeks DNA sequences from the parasite.…”