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Friday, 29.03.2024, 12:05
Main » Pulmonology » Diagnosis and treatment of stenosis of the trachea and bronchus 
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Diagnosis and treatment of stenosis of the trachea and bronchus


Diagnosis and treatment of stenosis of the trachea and bronchus

Diagnosis of stenosis of the trachea and bronchus


Stenosis of the trachea and bronchi recognize on the basis of medical history, clinical manifestations, these survey radiography, tomography, tracheo bronchoscopy spirography, bronchography, xeroradiography, as well as staining of the walls of the trachea with liquid contrast medium, or tantalum powder, and in cases of suspected vascular anomalies - aortography.

Differential diagnosis. Should be made with foreign bodies and bronchial asthma.
The treatment of stenosis of the trachea and bronchi

Treatment of stenosis of the trachea and bronchus, mainly surgical. The volume of the operation depends on the location and extent of stenosis.

Radical surgery is most often resection of the narrowed area of the trachea.

Innate intratracheally membrane is removed through the bronchoscope, and resect-circular stenosis with anastomosis type end to end.

Tracheal stenosis caused by a double aortic arch and other vascular anomalies, are also subject to surgical correction.

When compression is shown enlarged thymus gland, thymectomy, X-ray irradiation or glucocorticoid therapy.

Limited bronchial stenosis with no marked changes in the ventilated lung area to be circular resection with anastomosis of the type of end to end, and with bronchial stenosis, complicated by irreversible changes in lung resection is an appropriate area of the lung.

With the proper definition of reading the results of the opera ¬ tions are good. Bouts of coughing and choking disappear immediately after the intervention. Mortality is minimal.

For the treatment of cicatricial stenosis of the trachea can be used endoscopic techniques, as well as radical surgery.

Of the endoscopic techniques used bougienage, removal of granulation and scar narrowing margins using endoscopic instruments, including ultrasound, as well as holding for the long term through the isthmus of the indifferent material cutting with simultaneous treatment with steroids that suppress the inflammatory process.

Unfortunately, these methods are applicable not always, and in some cases provide only a temporary effect.
The prognosis for stenosis of the trachea and bronchi

The prognosis of tracheal and bronchial stenosis depends on the complexity of the anomaly that caused the stenosis, the risk of surgery and age.





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