[Stenting for postoperative airway stenosis due to traumatic tracheobronchial rupture].
A 43-year-old man underwent repair for the broken trachea, left main bronchus and right main brouchus due to trauma. Twenty-seven months after the initial surgery, he developed dyspnea and required ventilatory support. Computed tomography showed severe stenosis of the left main bronchus, tracheomalasia and bronchomalasia of right main bronchus. A self-expandable metallic stent (SEMS) was placed in the bilateral main bronchus and T-tube in the trachea. SEMS developed granulatory and cicatricial stenosis of the airway, which caused severe dyspnea. Replacement of SEMS with Dumon stents was successfully done and dyspnea was disappeared. A silicon stent should be used for treating postreconstructive airway stenosis including tracheobronchomalasia.
Takahashi
Nobumasa
N
Department of Second Surgery, Yamagata University School of Medicine, Yamagata, Japan.
Ohizumi
H
H
Naruke
Y
Y
Shiono
S
S
Nakamura
C
C
Shimanuki
T
T
Sadahiro
M
M
D001980:Bronchi / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012421:Rupture / Q000150:complications; D015607:Stents; D014132:Trachea / Q000293:injuries*; D014135:Tracheal Stenosis / Q000209:etiology* / Q000601:surgery