Bougienage and balloon dilation using a conventional tracheal tube for tracheobronchial stenosis before stent placement |
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Authors: | H Nomori H Horio K Suemasu |
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Institution: | (1) Department of Thoracic Surgery, Saiseikai Central Hospital, 1-4-17 Mita, Minato-ku, Tokyo 108, Japan, JP |
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Abstract: | In order to achieve urgent restoration of the airways in tracheobronchial stenosis and to make stent placement simpler and
safer, we developed a method that allows combined bougienage and balloon dilation via the use of a conventional tracheal tube.
Fifteen patients with tracheobronchial stenosis underwent bougienage and balloon dilation using a tracheal tube with a cuff
attached, inserted via a tracheostomy, before stent placement. The conventional tracheal tube was inserted via a tracheostomy,
the cuff was expanded at the stenotic site, and the tube was fixed to the tracheostomy and left in place for a few days until
sufficient dilation was achieved. This procedure was conducted on the trachea in 10 patients, the left main bronchus in three
patients, and the right main bronchus in two patients. In all patients, the procedure immediately relieved the obstructive
symptoms and dilated the stenosis sufficiently. Thereafter, Dumon stents were inserted in 10 patients, dynamic stents in four
patients, and an expandable metallic stent in one patient. The stents were introduced easily with no other dilation procedure
after a mean of 5 days from the start of the procedure. For tracheobronchial stenosis, bougienage and balloon dilation using
a tracheal tube with an integral cuff via a tracheostomy is a simple and safe method for achieving both urgent relief of airway
stenosis and dilation before stent placement.
Received: 20 May 1999/Accepted: 17 December 1999/Online publication: 25 April 2000 |
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Keywords: | : Balloon dilation — Bougienage — Cancer — Lung cancer — Stent — Tracheobronchial stenosis |
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