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Titolo:
CONCENTRIC TRACHEAL AND SUBGLOTTIC STENOSIS - MANAGEMENT USING THE ND-YAG LASER FOR MUCOSAL SPARING FOLLOWED BY GENTLE DILATATION
Autore:
MEHTA AC; LEE FYW; CORDASCO EM; KIRBY T; ELIACHAR I; DEBOER G;
Indirizzi:
CLEVELAND CLIN FDN,DEPT PULM & CRIT CARE MED,9500 EUCLID CLEVELAND OH44195 CLEVELAND CLIN FDN,DEPT THORAC SURG CLEVELAND OH 44195 CLEVELAND CLIN FDN,DEPT OTALARYNGOL CLEVELAND OH 44195 CLEVELAND CLIN FDN,DEPT GEN ANESTHESI CLEVELAND OH 44195
Titolo Testata:
Chest
fascicolo: 3, volume: 104, anno: 1993,
pagine: 673 - 677
SICI:
0012-3692(1993)104:3<673:CTASS->2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
ENDOSCOPIC MANAGEMENT; RECONSTRUCTION; STRICTURES; DILATION; CHILDREN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
19
Recensione:
Indirizzi per estratti:
Citazione:
A.C. Mehta et al., "CONCENTRIC TRACHEAL AND SUBGLOTTIC STENOSIS - MANAGEMENT USING THE ND-YAG LASER FOR MUCOSAL SPARING FOLLOWED BY GENTLE DILATATION", Chest, 104(3), 1993, pp. 673-677

Abstract

Treatment of tracheal stenosis varies with the type and extent of thedisease. Tracheostomy with stents, end-to-end anastamosis, or extensive reconstructive procedures often is required, especially when tracheomalacia is present. High recurrence rate is associated with relatively less invasive endotracheal treatments, such as bougie dilatation or total laser ablation. Mucosal sparing technique using Nd:YAG laser photodissection (LPD) and gentle dilatation (GD) can provide durable successful results in selected patients with benign concentric tracheal stenosis (CTS). In our study of 18 patients with CTS, 12 were successfully treated with Nd:YAG LPD and GD. Of these patients, eight required asingle treatment while four required two or more treatments. No patients required new tracheostomy to carry out the procedure. Follow-up periods ranging from 2 to 85 months (mean: 32.6 +/- 1.5 months) for 12 successfully treated patients have revealed no recurrence of their stenosis. Lengthy scars (>1 cm) and tracheomalacia were the clinical features common to those patients who failed the treatment. We advocate theuse of Nd:YAG LPD in conjunction with ''gentle'' rigid bronchoscopic dilatation as the initial treatment of CTS.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 16:32:15