Clinical Experience of Rigid Bronchoscopy in Single Center

Tuberculosis and Respiratory Diseases

article

Hyun Jin Kim¹  Sei Won Kim¹  Hye Yeon Lee¹  Hyeon Hui Kang¹  Ji Young Kang¹  Ju Sang Kim¹  Myung Sook Kim¹  Seung Soo Kim¹  Jin Woo Kim¹  Hyeong Gyu Yun¹  Chi Hong Kim¹  Kwan Hyoung Kim¹  Hwa Sik Moon¹  Kwang Jae Cho²  Seok Hwan Moon³  Sang Haak Lee¹ 

[1] Department of Internal Medicine, The Catholic University of Korea School of Medicine;Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea School of Medicine;Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea School of Medicine

关键词: Bronchoscopy;    Pulmonary Medicine;    Tracheal Stenosis;    Airway Obstruction;   

DOI  :  10.4046/trd.2012.72.6.486

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

Background The aim of this study was to analyze clinical situations requiring rigid bronchoscopy and evaluate usefulness of rigid bronchoscopic intervention in benign or malignant airway disorders. Methods We retrospectively reviewed 29 patients who underwent rigid bronchoscopy from November 2007 to February 2011 at St. Paul's Hospital, The Catholic University of Korea School of Medicine. Results Of the 29 patients, the most frequent underlying etiology was benign stenosis of trachea (n=20). Of those 20 patients, 16 had post-intubation tracheal stenosis (PITS), 2 had tracheal stenosis due to inhalation burn (IBTS) and other 2 had obstructive fibrinous tracheal pseudomembrane (OFTP). Other etiologies were airway malignancy (n=6), endobronchial stenosis due to tuberculosis (n=2), and foreign body (n=1). For treatment, silicone stent insertion was done in 16 cases of PITS and IBTS and mechanical removal was performed in 2 cases of OFTP. In 6 cases of malignant airway obstruction mechanical debulking was performed and silicone stents were inserted additionally in 2 cases. Balloon dilatation and electrocautery were used in 2 cases of endobronchial stenosis due to tuberculosis. In all cases of stent, airway obstructive symptom improved immediately. Granulation tissue formation was the most common complication. Conclusion Tracheal stenosis was most common indication and silicone stenting was most common procedure of rigid bronchoscopy in our center. Rigid bronchoscopic procedures, at least tracheal silicone stenting, should be included in pulmonary medicine fellowship programs because it is a very effective and indispensable method to relieve critical airway obstruction which needs training to learn.

【 授权许可】

CC BY-NC