250 children with tuberculosis causing central airway narrowing were evaluated. 34% needed transthoracic nodal dissection for relief of obstruction, nearely one-third of those as an urgent procedure. Success was more common in those with bronchus intermedius or left main bronchial obstruction. The success rate was 98%.
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Trachea and bronchi
March 16, 2015
The authors describe results of initial bronchoscopy therapy (IBT) for endobronchial carcinoids aimed at relieving obstruction, accurate subtyping, and potentially complete eradication. After a minimum follow-up of 5 years, 42% of patients were spared surgical therapy, having had no evidence of local or distant recurrence (42/83 with typical histolo
August 5, 2014
The formation of endotracheal casts comprised of inflammatory debris (plastic bronchitis) is a rare but life-threatening complication of the Fontan procedure. This summary of 14 pts so affected demonstrated a mean interval to development of plastic bronchitis of 1.5 years. Casts were treated with outpt t-PA (13 pts) and pulmonary vasodilators. Les
July 31, 2014
This article describes bronchial thermoplasty, a novel treatment option in uncontrolled severe asthma. The procedure targets reducing the hypertrophied smooth muscle in the airways, which is considered to be part of the pathophysiology of and contributor to asthma symptoms.
June 2, 2014
LVR using endobronchial therapies remains experimental. This multicenter study tested LVR coils in 60 pts for safety and efficacy. There were a total of 18 serious adverse events. At 6 and 12 mos, dyspnea scores decreased 11%, 6 min walk increased 30-50 m, and FEV1 increased 0.11 L. Pts with either heterogeneous or homogeneous emphysema appeared
May 3, 2014
For those of you anticipating the need to perform an emergency cricothyroidotomy outside of a medical setting, this article will guide you to the best pen to use for this purpose. [Spoiler alert: Baron retractable ballpoint and BIC soft feel jumbo]
April 14, 2014
This video demonstrates the technical details of a primary tracheal tumor resection involving the cervical trachea; the procedure was performed after radiotherapy and brachytherapy, following emergency laser-assisted rigid bronchoscopy.
March 13, 2014
This video demonstrates the technical details of a redo cervical tracheal resection and laryngotracheal reconstruction for recurrent subglottic cicatricial stenosis that is not amenable to endoscopic treatment.
February 6, 2014
This video demonstrates the construction of a mediastinal stoma after laryngotrachiectomy using a pectoralis major myocutaneous flap.
November 21, 2013
This video demonstrates the clinical application of the lung lavage technique for the treatment of Pulmonary Alveolar Proteinosis (PAP).