Document Detail


Endoscopic treatment of tracheal stenosis.
MedLine Citation:
PMID:  24295657     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
For all cases of tracheal obstructions surgery should be considered first. Interventional endoscopic procedures can provide immediate relief. Intraluminally growing tumors can be resected with laser, argon-plasma coagulation, an electrosurgical knife or cryo-probe. Photodynamic therapy of smaller tracheal tumors can be curative. Narrowing from intramural tumor growth or wall destruction requires internal splinting with an airway stent. Scar strictures can be dilated with balloons but the biotrauma may stimulate new scarring. In benign strictures and malacias, tracheal stents should only be placed if all other methods are exhausted. Complications including stent migration, mucostasis, halitosis and granulation tissue development must be considered. Most important for a good outcome is a multidisciplinary approach.
Authors:
Lutz Freitag; Kaid Darwiche
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Thoracic surgery clinics     Volume:  24     ISSN:  1547-4127     ISO Abbreviation:  Thorac Surg Clin     Publication Date:  2014 Feb 
Date Detail:
Created Date:  2013-12-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101198195     Medline TA:  Thorac Surg Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  27-40     Citation Subset:  IM    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
Affiliation:
Department of Interventional Pulmonology, Ruhrlandklinik, University Hospital, University Duisburg-Essen, 45239 Essen, Germany. Electronic address: lutz.freitag@ruhrlandklinik.uk-essen.de.
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