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Treatment of Tracheobronchial Stenosis

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Diagnostic and Interventional Bronchoscopy in Children

Part of the book series: Respiratory Medicine ((RM))

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Abstract

Ever since the advent of the pediatric flexible bronchoscope, there have been attempts of using it as a therapeutic, as much as a diagnostic tool. Traditionally, rigid bronchoscopes have been used in the treatment of tracheobronchial stenosis, often leaving the more distal bronchi out of reach, especially in small children, but new technologies are now available that allow reaching those bronchi with means to repermeabilize them, reestablishing a patent airway. The diagnostic usefulness of flexible bronchoscopy cannot be overemphasized, especially in secondary stenotic airways, in which there is often a combination of anatomic and dynamic collapse due to malacic segments alongside scar tissue. This is why the care of the pediatric airway patients should always be multidisciplinary and comprise an ENT/pediatric surgeon and an expert interventional pulmonologist. In this chapter we discuss the many roles played by flexible bronchoscopy in both the diagnosis and the treatment of the stenotic airway.

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Author information

Authors and Affiliations

  1. Hospital de Niños Luis Calvo Mackenna, Santiago, Chile

    Alvaro E. Pacheco

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  1. Alvaro E. Pacheco
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Correspondence to Alvaro E. Pacheco .

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Editors and Affiliations

  1. Division of Pulmonary Medicine, Children’s Hospital of Philadelphia Perelman School of Medicine University of Pennsylvania, Philadelphia, PA, USA

    Samuel Goldfarb

  2. Division of Pulmonary Medicine & Center for Pediatric Airway Disorders, Children’s Hospital of Philadelphia University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Joseph Piccione

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Pacheco, A.E. (2021). Treatment of Tracheobronchial Stenosis. In: Goldfarb, S., Piccione, J. (eds) Diagnostic and Interventional Bronchoscopy in Children. Respiratory Medicine. Humana, Cham. https://doi.org/10.1007/978-3-030-54924-4_39

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  • DOI: https://doi.org/10.1007/978-3-030-54924-4_39

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  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-030-54923-7

  • Online ISBN: 978-3-030-54924-4

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