Use of the Carbon Dioxide Laser for Tracheobronchial Lesions in Children

Sjogren, Phayvanh P.; Sidman, James D.

doi:10.1001/jamaoto.2013.1757

Cited by 18 publications

(15 citation statements)

References 23 publications

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“…Various endoscopic surgical methods are successfully used in the management of papillomas. Among these, excision by carbon dioxide laser is most commonly used especially in children [2, 17]. Cryotherapy is also reported to be successful in cases with endobronchial obstruction like our case [18].…”

Section: Discussionmentioning

confidence: 66%

Tracheal Papilloma Treated with Cryotherapy and Interferon-α: A Case Report and Review of the Literature

Yıldırım

Türk

Demircan

et al. 2015

Case Reports in Pulmonology

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Tracheal papilloma (TP) is characterized by papillomatous growth of the bronchial epithelium that involves the trachea as a response to Human Papilloma Virus (HPV) infection. A 40-year-old male, with 3-month history of progressive dyspnea was admitted to our hospital, and there were no any other respiratory symptoms. Physical examination was unremarkable. Chest computed tomography (CT) showed that there was a papillomatous mass at the distal trachea. The lesion occupied 80% of tracheal lumen. This patient received cryotherapy and mechanical debridement under general anesthesia and postoperative pathology showed endotracheal papillomatosis. Patient was treated with interferon-α (IFN-α) and he showed no recurrence at the 8th month of his therapy.

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Section: Discussionmentioning

confidence: 66%

Tracheal Papilloma Treated with Cryotherapy and Interferon-α: A Case Report and Review of the Literature

Yıldırım

Türk

Demircan

et al. 2015

Case Reports in Pulmonology

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“…Although some authors described the safety and feasibility of endoscopic ablation, its use is still recommended—but only for small, pedicled intraluminal lesions that do not infiltrate the tracheobronchial wall …”

Section: Discussionmentioning

confidence: 99%

Pediatric airway tumors: A report from the International Network of Pediatric Airway Teams (INPAT)

et al. 2019

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Objective Primary tracheobronchial tumors (PTTs) are rare heterogeneous lesions arising from any part of the tracheobronchial tree. Nonspecific symptoms may lead to delayed diagnosis that requires more aggressive surgical treatment. An analysis of cases collected by the International Network of Pediatric Airway Team was undertaken to ensure proper insight into the behavior and management of PTTs. Methods Patients <18 years of age with a histological confirmation of PTT diagnosed from 2000 to 2015 were included in this multicenter international retrospective study. Medical records, treatment modalities, and outcomes were analyzed. The patient presentation, tumor management, and clinical course were compared between malignant and benign histotypes. Clinical and surgical variables that might influence event‐free survival were considered. Results Among the 78 children identified, PTTs were more likely to be malignant than benign; bronchial carcinoid tumor (n = 31; 40%) was the most common histological subtype, followed by inflammatory myofibroblastic tumor (n = 19; 25%) and mucoepidermoid carcinoma (n = 15; 19%). Regarding symptoms at presentation, wheezing (P = 0.001) and dyspnea (P = 0.03) were more often associated with benign growth, whereas hemoptysis was more frequently associated with malignancy (P = 0.042). Factors that significantly worsened event‐free survival were age at diagnosis earlier than 112 months (P = 0.0035) and duration of symptoms lasting more than 2 months (P = 0.0029). Conclusion The results of this international study provide important information regarding the clinical presentation, diagnostic workup, and treatment of PTTs in children, casting new light on the biological behavior of PTTs to ensure appropriate treatments. Level of Evidence NA Laryngoscope, 130:E243–E251, 2020

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“…Conversely, when employed in the tracheobronchial tree it becomes more cumbersome because the lesions to be treated are not as easily addressed as the ones in the upper airway [118].…”

Section: Boxmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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Use of the Carbon Dioxide Laser for Tracheobronchial Lesions in Children

Cited by 18 publications

References 23 publications

Tracheal Papilloma Treated with Cryotherapy and Interferon-α: A Case Report and Review of the Literature

Tracheal Papilloma Treated with Cryotherapy and Interferon-α: A Case Report and Review of the Literature

Pediatric airway tumors: A report from the International Network of Pediatric Airway Teams (INPAT)

ERS statement: interventional bronchoscopy in children

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