Outcome of Treating Airway Compromise due to Bronchial Stenosis with Intralesional Corticosteroids and Cutting‐Balloon Bronchoplasty

Nouraei, S.A.R.; Mills, Heide; Butler, Colin R.; Ghufoor, Khalid; Sandhu, Guri; George, P. J. M.

doi:10.1177/0194599811413683

Cited by 10 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FEV 1 and FVC improved following the intervention. Similar findings have been reported by others, including in patients with vasculitis- and tuberculosis-related airway stenosis [14,15,16,35]. …”

Section: Discussionsupporting

confidence: 91%

Therapeutic Bronchoscopy Improves Spirometry, Quality of Life, and Survival in Central Airway Obstruction

et al. 2015

View full text Add to dashboard Cite

Background: Central airway obstruction (CAO) occurs in patients with primary or metastatic lung malignancy and nonmalignant pulmonary disorders and results in significant adverse effects on respiratory function and quality of life. Objectives: The objective of this study was to assess the effect of therapeutic bronchoscopic interventions on spirometry, dyspnea, quality of life, and survival in patients with CAO. Methods: We prospectively studied patients who underwent therapeutic rigid bronchoscopy for CAO. Spirometry, San Diego Shortness of Breath questionnaire (SOBQ), and SF-36 questionnaire responses were obtained before the procedure and at follow-up 6-8 weeks after the procedure. Results: Fifty-three patients (24 malignant and 29 nonmalignant CAO), who underwent successful rigid bronchoscopic intervention, were enrolled. Airway stent placement and various debulking techniques including mechanical debridement and heat therapy were used. After bronchoscopy, there was a significant increase in forced vital capacity (2.2 ± 0.91 l before, 2.7 ± 0.80 l after, p = 0.009) and forced expiratory volume at 1 s (1.4 ± 0.60 l before, 1.8 ± 0.67 l after, p = 0.002). The SOBQ score improved from 55.8 ± 30.1 before the procedure to 37.9 ± 27.25 after the procedure (p = 0.002). In the SF-36, there was an improvement in almost all domains, with statistically significant improvement seen in several domains. Benefits were seen independent of the etiology of CAO, site of intervention or stent placement. The patients with malignant CAO, in whom airway patency could not be achieved, had a poor survival. Conclusions: Alleviation of CAO with therapeutic rigid bronchoscopy results in improvement in spirometry, shortness of breath, quality of life, and survival.

show abstract

Section: Discussionsupporting

confidence: 91%

Therapeutic Bronchoscopy Improves Spirometry, Quality of Life, and Survival in Central Airway Obstruction

et al. 2015

View full text Add to dashboard Cite

show abstract

“…It is therefore of paramount importance that clinicians are aware of its different manifestations and assessment steps 4. Management of tracheobronchial involvement in GPA that causes stenosis can include, apart from systemic therapy with corticosteroids and cytotoxic drugs, local steroid injection, stent, laser excision and balloon dilatation (cutting balloon) 4–6…”

Section: Descriptionmentioning

confidence: 99%

Multilevel tracheal granulomatosis with polyangiitis (GPA) lesions in a paediatric patient

et al. 2021

View full text Add to dashboard Cite

“…Management options include lesion removal using a variety of energy devices such as laser, diathermy or cryotherapy, although all attempts are made to avoid using laser or other particle-dispersing devices in the settings of COVID-19. Airway dilation using standard and/or cutting-balloon devices are encouraged, 23 and use of distal or Y-shaped stents, 24 and in very highly selected cases, consideration of primary bronchoplastic surgery may be considered. 25…”

Section: Patient Managemementmentioning

confidence: 99%

A multidisciplinary approach for managing the infraglottic difficult airway in the setting of the Coronavirus pandemic

Nouraei

Girgis

Shorthouse

et al. 2020

Operative Techniques in Otolaryngology-Head and Neck Surgery

View full text Add to dashboard Cite

Management of a difficult airway caused by pathology below the glottis is high-risk and requires a shared approach to airway planning and surgical treatment. Access to the trachea requires a careful assessment of the airway since the end-point of laryngoscopy for infraglottic airway management is not visualization of the larynx for tube placement, but access to the laryngotracheal complex in cases where intubation may not be feasible or may preclude surgical access. This work provides a common framework for creating multidisciplinary shared-airway management plans and presents devices and strategies that have in recent years improved airway management safety in this difficult patient group and may prove useful in the setting of the novel Coronavirus Disease 2019 (COVID-19).

show abstract

Outcome of Treating Airway Compromise due to Bronchial Stenosis with Intralesional Corticosteroids and Cutting‐Balloon Bronchoplasty

Abstract: Cutting-balloon bronchoplasty via suspension laryngoscopy is an effective treatment for benign bronchial stenosis. It is safer than airway stenting and is less invasive than thoracotomy. The authors propose its use as first-line treatment for this condition.

Cited by 10 publications

References 12 publications

Therapeutic Bronchoscopy Improves Spirometry, Quality of Life, and Survival in Central Airway Obstruction

Therapeutic Bronchoscopy Improves Spirometry, Quality of Life, and Survival in Central Airway Obstruction

Multilevel tracheal granulomatosis with polyangiitis (GPA) lesions in a paediatric patient

A multidisciplinary approach for managing the infraglottic difficult airway in the setting of the Coronavirus pandemic

Contact Info

Product

Resources

About