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KMID : 0383820120720060486
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Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 6 p.486 ~ p.492
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Clinical Experience of Rigid Bronchoscopy in Single Center
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Kim Hyun-Jin
Kim Sei-Won
Lee Hea-Yon
Kang Hyeon-Hui
Kang Ji-Young
Kim Ju-Sang
Kim Myung-Sook
Kim Seung-Su
Kim Jin-Woo
Yoon Hyoung-Kyu
Kim Chi-Hong
Kim Kwan-Hyoung
Moon Hwa-Sik
Cho Kwang-Jae
Moon Seok-Whan
Lee Sang-Haak
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Abstract
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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.
Materials and 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.
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KEYWORD
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Bronchoscopy, Pulmonary Medicine, Tracheal Stenosis, Airway Obstruction
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