Korean Journal of Bronchoesophagology (대한기관식도과학회지)

The Korean Bronchoesophagological Society (대한기관식도과학회)
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Effectiveness of Endoscopic Dilatation & Silicone Stent Insertion for Tracheobronchial stenoses : Preliminary study

기관-기관지 협착에서 내시경적 확장술 및 실리콘 스텐트의 유용성 : 예비보고

  • Lee, Kyong-Soo (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Park, Dong-Wook (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Kyu-Hun (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Jae-Wook (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Koh, Yoon-Woo (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Do-Jin (Department of Internal medicine, Division of Pulmonology, Soonchunhyang University College of Medicine) ;
  • Lee, Seung-Won (Department of Otolaryngology - Head and Neck Surgery, Soonchunhyang University College of Medicine)
  • 이경수 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 박동욱 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김규훈 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김재욱 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 고윤우 (순천향대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김도진 (순천향대학교 의과대학 호흡기내과학교실) ;
  • 이승원 (순천향대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2009.06.30
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Abstract

Objectives: Endoscopic airway dilatation and stenting has been developed to treat the airway stenosis without potential morbidities of open surgery. We report the clinical results of endoscopic airway dilatation with silicone stenting in patients with posttuberculous bronchial stenosis(PTBS) and with severe main tracheal stenosis who have poor general conditions Methods : A prospective observation study of five patients, who have undergone endoscopic airway dilatation and silicone stenting between Feb 2007 and Feb 2009. A total of twelve patients were treated with endoscopic airway dilatation, among them 5 patients were included in this study. three patients were treated with newly designed silicone stent (Natural stent: TNO Co., Seoul, South Korea) because of poor surgical conditions and longer stenotic segment Results: 3 patients were grade III PTBS, and the other 2 patients were grade IV post tracheotomy main tracheal stenosis. One patient of PTBS were treated with silicone stent following endoscopic dilatation because of longer stenotic segment. Two patients of main tracheal stenosis patients were treated with silicone stent because of tracheal lumen collapse. There was no severe postoperative complications except mild granulation tissue formations Conclusions : Endoscopic dilatation including silicone stenting could be a useful method for treating patients with PTBS, and for main tracheal stenosis patients with poor general surgical conditions

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