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KMID : 0604020120270020111
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Korean Journal of Critical Care Medicine
2012 Volume.27 No. 2 p.111 ~ p.114
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A Case of Successful Natural Stenting in Tracheobronchial Restenosis with Malignant Tumor after Metallic Stenting
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Hong Goo-Hyeon
Jeon Kyeong-Man
Um Sang-Won
Koh Won-Jung
Suh Gee-Young
Chung Man-Pyo
Kwon O-Jung
Kim Ho-Joong
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Abstract
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Tracheal tumors are very rare disease, which may cause dyspnea, obstructive pneumonia and life-threatening hypoxemia, depending on the site of the lesion and the severity of the narrowing. Such patients frequently die within hours or days due to suffocation. Patients who expressed upper airway stenosis, should be secured the airways prior to the diagnosis and treatment commonly. Then, treatment plan should be determined. For the relief of such stenosis, various modalities of therapy including surgery, laser photoresection, balloon dilatation and sometimes stent insertion have been used. Tracheobronchial stent insertion has been a good therapeutic option in these patients in point of avoiding morbidities associated with surgery. We report a case of repeated tracheobronchial stenosis by infiltrating tumor mass after metallic stent insertion in a 48-year-old man. The patient was treated successfully by Natural stent insertion with rigid bronchoscopy after removal of previous inserted metallic stent.
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KEYWORD
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malignant tumor, metallic stent, natural stent, tracheobronchial stenosis
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