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Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis

Title
Use of silicone stents for the management of post-tuberculosis tracheobronchial stenosis
Authors
Ryu Y.J.Kim H.Yu C.M.Choi J.C.Kwon Y.S.Kwon O.J.
Ewha Authors
류연주
SCOPUS Author ID
류연주scopus
Issue Date
2006
Journal Title
European Respiratory Journal
ISSN
0903-1936JCR Link
Citation
vol. 28, no. 5, pp. 1029 - 1035
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
The role of bronchoscopic management in post-tuberculosis tracheobronchial stenosis is not well defined. To investigate the role of bronchoscopic intervention, including silicone stenting, in the management of post-tuberculosis tracheobronchial stenosis, the current retrospective study was conducted at a tertiary referral hospital. Under rigid bronchoscopy, 80 patients underwent ballooning, neodymium-yttrium aluminium garnet laser resection and/or bougienation as first-line methods of airway dilatation between January 2000 and December 2003 inclusive, and were followed for a median of 41 months. Silicone stents were required in 75 out of 80 (94%) patients to maintain airway patency. Bronchoscopic intervention provided immediate symptomatic relief and improved lung function in 88% of the patients. After airway stabilisation, stents were removed successfully in 49 out of 75 (65%) patients at a median of 14 months post-insertion. Three patients out of 75 (4%) eventually underwent surgical management. Acute complications included: excessive bleeding (n=1); pneumothorax (n=5); and pneumomediastinum without mortality (n=2). Stent-related late complications, such as migration (51%), granuloma formation (49%), mucostasis (19%) and restenosis (40%), were controllable during a median follow-up of 41 months. In conclusion, bronchoscopic intervention, including silicone stenting, could be a useful and safe method for treating post-tuberculosis tracheobronchial stenosis. Copyright © ERS Journals Ltd 2006.
DOI
10.1183/09031936.06.00020906
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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