[Tracheobronchoplasty for Severe Diffuse Tracheomalacia].
Patients with diffuse airway instability due to tracheobronchomalacia or excessive dynamic airway collapse are typically highly symptomatic, with marked dyspnoea, recurrent bronchopulmonary infections and excruciating intractable cough. Silicone stents achieve immediate symptom control, but are - due to the typical complications associated with stent treatment - usually not an option for long-term treatment. The aim of surgical intervention is definitive stabilisation of the trachea and of both main bronchi by posterior splinting of the Paries membranaceus with a polypropylene mesh. This operation is an appropriate treatment option for patients with documented severe tracheobronchomalacia or excessive dynamic airway collapse and is ultimately the only therapy that can achieve permanent symptom control. The success of the operation, however, depends on many factors and requires close interdisciplinary collaboration.
Chirurgische Abteilung, Thoraxklinik Universitätsklinikum Heidelberg, Deutschland.
H
H
Hoffmann
Pneumologische Abteilung, Thoraxklinik Universitätsklinikum Heidelberg, Deutschland.
D
D
Gompelmann
Radiologische Abteilung, Thoraxklinik Universitätsklinikum Heidelberg, Deutschland.
C P
CP
Heußel
Chirurgische Abteilung, Thoraxklinik Universitätsklinikum Heidelberg, Deutschland.
H
H
Dienemann
Pneumologische Abteilung, Thoraxklinik Universitätsklinikum Heidelberg, Deutschland.
R
R
Eberhardt
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013965:Thyroidectomy; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D055089:Tracheobronchomalacia / Q000175:diagnosis / Q000601:surgery*; D014137:Tracheobronchomegaly / Q000175:diagnosis / Q000601:surgery