Nd-YAG laser-induced endobronchial burn. Management and long-term follow-up.
Endobronchial fires are a rare complication of Nd-YAG laser photoresection. Short-term morbidity is secondary to sloughing mucosa and mucous plugging. Aggressive pulmonary hygiene, including frequent bronchoscopies and possibly a tracheostomy, may be required. The major long-term complication is obstruction of the airways from granulation tissue. Long-term follow-up is required to evaluate and treat clinically significant granulation tissue in the airways.
Krawtz
S
S
Department of Pulmonary Disease, Cleveland Clinic Foundation.
Mehta
A C
AC
Wiedemann
H P
HP
DeBoer
G
G
Schoepf
K D
KD
Tomaszewski
M Z
MZ
D000368:Aged; D000402:Airway Obstruction / Q000209:etiology; D001980:Bronchi / Q000293:injuries*; D001999:Bronchoscopy; D005390:Fires; D005500:Follow-Up Studies; D006097:Granulation Tissue / Q000473:pathology; D006801:Humans; D007431:Intraoperative Complications; D053685:Laser Therapy / Q000009:adverse effects*; D007834:Lasers / Q000009:adverse effects*; D008297:Male; D013997:Time Factors