Yalçın Karakoca, Güler Karaağaç, Sevinay Karakoca, Tülay Yıldız, Orhan Yazanel, Nesrin Sariman, Erdem Yıldız, Bülent Tekinsoy

INTERVENTIONAL BRONCHOSCOPY FOR THE MANAGEMENT OF THE POSTINTUBATION AND POSTTRACHEOSTOMY TRACHEAL STENOSIS

Objective: Benign airway obstruction isconsidered as curable by therapeutic bronchoscopic methods. Compared to surgical therapies, these methods are comfortable and safe for the patients.Methods: We used therapeutic bronchoscopic methods (laser and stenotic silicon stent) in seven patients who were admitted to our department due to tracheal stenosis, which developed after tracheostomy and endotracheal intubation. In 4 patients after vaporization of membranous stricture by YAP-laser, stenotic stent was implanted mechanically and/or by means of balloon dilatation. The membranous stricture area was coagulated by YAP-laser in 3 other cases and anatomic airway diameter wasmaintained mechanically and by balloon dilatation.Results and Conclusion: In the follow up period, we applied a stenotic silicone stent after second laser resection to patients, who developed restenosis. Patients who had stenotic silicon stenting had no problem related with the stent in the follow up period were considered as cured.Key Words: Postintubation tracheal stenosis, Therapeutic bronchoscopy, Laser, Stent

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