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Complete subglottic tracheal stenosis managed with rigid bronchoscopy and T-tube placement

机译:硬支气管镜和T形管置入术治疗完全声门下气管狭窄

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摘要

Surgery is the preferred treatment modality for benign tracheal stenosis. Interventional bronchoscopy is used as a bridge to surgery or in instances when surgery is not feasible or has failed. Stenosis in the subglottic trachea is particularly a treatment challenge, in view of its proximity to the vocal cords. Herein, we describe a patient with complete tracheal stenosis in the subglottic region, which developed after prolonged intubation and mechanical ventilation. The patient developed recurrent stenosis despite multiple surgical and endoscopic procedures. We were able to manage the patient successfully with rigid bronchoscopy and Montgomery T-tube placement.
机译:手术是良性气管狭窄的首选治疗方式。介入性支气管镜被用作手术的桥梁或在手术不可行或失败的情况下使用。考虑到声门下气管狭窄与声带的接近性,其治疗尤其困难。在本文中,我们描述了在长时间的插管和机械通气后出现的声门下区域完全气管狭窄的患者。尽管进行了多次外科手术和内窥镜检查,患者仍出现了狭窄的复发。我们能够通过硬支气管镜检查和蒙哥马利T型管放置成功地治疗患者。

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