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CardioVascular and Interventional Radiology

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01-06-2014 | Clinical Investigation

Management of Benign Tracheal Strictures Caused by Tracheostomy

Authors: Jung-Hoon Park, Jin Hyoung Kim, Ho-Young Song, Ji Hoon Shin, Heung Kyu Ko

Published in: CardioVascular and Interventional Radiology | Issue 3/2014

Abstract

Purpose

To evaluate the clinical efficacy and safety of radiologic management for the treatment of benign tracheal strictures caused by tracheostomy.

Materials and Methods

We retrospectively reviewed of 13 patients with benign tracheal stricture caused by tracheostomy that was treated with balloon dilation or stent placement. Balloon dilation had initially been performed. Stent placement was indicated in patients who showed a poor response to balloon dilation. Outcomes were assessed according to the following variables: technical and clinical success, Hugh–Jones classification scale before and after the procedures, and complications.

Results

Balloon dilation and stent placement were technically successful in all patients. Nine of the 13 patients (69 %) showed no response to balloon dilation, and the remaining the four patients showed a positive response to initial balloon dilation. Six of the nine (67 %) patients showed a good response to temporary stent placement and required no further treatment. Mean Hugh–Jones grades improved from 3.6 ± 0.8 to 1.8 ± 1.1 (P < 0.001). During a follow-up period of 2.6–40.8 months (mean 16.5), overall clinical success was achieved in 10 patients (77 %) after a single balloon dilation (n = 4) and temporary stent placement (n = 6). The remaining three patients with clinical failure underwent tracheal resection (n = 3).

Conclusion

Radiologic management can be a safe and effective therapeutic option for treating benign tracheal stricture caused by tracheostomy. Temporary stent placement can be effective in patients with symptoms recurring soon after balloon dilation.

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Title: Management of Benign Tracheal Strictures Caused by Tracheostomy
Authors: Jung-Hoon Park
Jin Hyoung Kim
Ho-Young Song
Ji Hoon Shin
Heung Kyu Ko
Publication date: 01-06-2014
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 3/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0727-7

ACC 2024 Congress

Springer Medicine

Management of Benign Tracheal Strictures Caused by Tracheostomy

Abstract

Purpose

Materials and Methods

Results

Conclusion

ACC 2024 Congress

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusion

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