Terapötik bronkoskopi ile tedavi edilen postentübasyon trakea stenozları: Beş olgu sunumu
Küçük Resim Yok
Tarih
2004
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Association of Tuberculosis and Thorax
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Benign hava yolu obstrüksiyonları terapötik bronkoskopi ile küratif olarak tedavisi yapılabilen patolojilerdir. Cerrahi tedaviler ile kıyaslandığında hasta açısından son derece rahat olup risk içermemektedir. Trakeostomi ve endotrakeal entübasyon sonrası trakea stenozu nedeniyle başvuran beş hastada, terapötik bronkoskopi yöntemlerinden lazer-stenotik silikon stent tedavileri uygulandı. Trakeostomi ve entübasyon sonrası stenoz gelişen iki hastaya membranöz striktür alanının “Neodimum Yttrium Aliminum Pevroskite (Nd-YAP)” lazer ile vaporizasyonu, mekanik ve/veya balon ile dilatasyonundan sonra stenotik silikon stent implante edildi. Diğer üç hastada ise membranöz striktür alanı Nd-YAP-lazer ile koagüle edilip; mekanik ve balon dilatasyonu ile hava yolu normal genişliğine ulaştırıldı. Takip dönemlerinde restenoz gelişen olgulara tekrar lazer rezeksiyonu uygulandı ve stenotik silikon stent yerleştirildi. Silikon stentle implante halde takiplerinde sorun olmayan hastalarda cerrahi rezeksiyona gerek kalmadan küratif tedavi sağlanmıştır.
Benign airway obstruction is known as curable by therapeutic bronchoscopic methods. Compared by surgical therapies it is comfortable and has no risks for the patients. For five patients who applied our clinic after tracheostomy and endotracheal intubation stenosis we used therapeutic bronchoscopic methods; “laser-stenotic silicon stent”. In two patients after vaporization of membranous stricture by Neodimum Yttrium Aliminum Pevroskite Laser (Nd-YAP laser) who were seen posttracheostomy and postentubation; stenotic stent was implanted mechanically and/or by means of baloon dilatation. Membranous stricture area was coagulated by Nd-YAP-laser in other three cases and anatomic airway diameter was achieved mechanically and by baloon dilatation. In the follow up period we applied stenotic silicon stent implantation after second laser resection in whom restenosis observed. In conclusion; patients who had stenotic silicon stent implantation and having no problems in the follow up this therapeutic method is found to be curative.
Benign airway obstruction is known as curable by therapeutic bronchoscopic methods. Compared by surgical therapies it is comfortable and has no risks for the patients. For five patients who applied our clinic after tracheostomy and endotracheal intubation stenosis we used therapeutic bronchoscopic methods; “laser-stenotic silicon stent”. In two patients after vaporization of membranous stricture by Neodimum Yttrium Aliminum Pevroskite Laser (Nd-YAP laser) who were seen posttracheostomy and postentubation; stenotic stent was implanted mechanically and/or by means of baloon dilatation. Membranous stricture area was coagulated by Nd-YAP-laser in other three cases and anatomic airway diameter was achieved mechanically and by baloon dilatation. In the follow up period we applied stenotic silicon stent implantation after second laser resection in whom restenosis observed. In conclusion; patients who had stenotic silicon stent implantation and having no problems in the follow up this therapeutic method is found to be curative.
Açıklama
Anahtar Kelimeler
Postentübasyon trakeal stenoz, terapötik bronkoskopi, lazer, stent, Postintubation tracheal stenosis, therapeutic bronchoscopy, laser, stent
Kaynak
Tuberculosis and Thorax
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
52
Sayı
4
Künye
Karakoca, Y., Karaağaç, G., Karakoca, S., Yıldız, T. vd. (2004). Terapötik bronkoskopi ile tedavi edilen postentübasyon trakea stenozları: Beş olgu sunumu / Therapeutic bronchoscopic treatment of postintubation tracheal stenosis: 5 cases. Tuberculosis and Thorax, Turkish Association of Tuberculosis and Thorax. 52(4), s. 363-368.
